Computerized Three-Dimensional Analysis: A Novel Method to Assess the Effect of Open-Door Laminoplasty.

CAD-CAM Cervical spondylotic myelopathy Computer-guided surgery Open-door laminoplasty Spinal canal volume

Journal

Acta neurochirurgica. Supplement
ISSN: 0065-1419
Titre abrégé: Acta Neurochir Suppl
Pays: Austria
ID NLM: 100962752

Informations de publication

Date de publication:
2023
Historique:
medline: 28 12 2023
pubmed: 28 12 2023
entrez: 28 12 2023
Statut: ppublish

Résumé

The three-dimensional elaboration of morphological data derived from computed tomography (CT) and magnetic resonance imaging (MRI) scans generates virtual anatomical reconstructions. Here, we propose a novel protocol to analyze the postoperative results of open-door laminoplasty to evaluate differences in the volume of the spinal canal. The protocol uses geometric models in patients with cervical degenerative myelopathy before versus after cervical laminoplasty. Mimics and 3-Matic software (Materialise, Leuven, BE) programs were used to segment anatomical structures and create polygon meshes of spines. Patients with cervical spondylotic myelopathy were enrolled. The models obtained before and after laminoplasty were superimposed by using a global registration function. The magnitude of divergence was quantified by using the root-mean-square error (RMSE). Using this novel protocol, we were able to map the differences in the volume of the spinal canal before laminoplasty and after laminoplasty and to quantify its magnitude and calculate the volumes. The development of a procedure to measure the space within the cervical bone walls using geometric parameters represents a new, powerful method to verify the results obtained by cervical laminoplasty. Further research horizons may include the routine use of virtual models in surgical planning for this procedure.

Identifiants

pubmed: 38153485
doi: 10.1007/978-3-031-36084-8_46
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

301-306

Informations de copyright

© 2023. The Author(s), under exclusive license to Springer Nature Switzerland AG.

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Auteurs

Barbara Cappelletto (B)

Spine and Spinal Cord Surgery Unit, Neurosciences Department, ASU FC, Academic Hospital of Udine, Udine, Italy. barbara.cappelletto@asufc.sanita.fvg.it.

Rossella Rispoli (R)

Spine and Spinal Cord Surgery Unit, Neurosciences Department, ASU FC, Academic Hospital of Udine, Udine, Italy.

Massimo Robiony (M)

Maxillofacial Surgery Department, Academic Hospital of Udine, Udine, Italy.
Department of Medicine, University of Udine, Udine, Italy.

Alessandro Tel (A)

Maxillofacial Surgery Department, Academic Hospital of Udine, Udine, Italy.
Department of Medicine, University of Udine, Udine, Italy.

Classifications MeSH