Advantages and disadvantages of 3-dimensional printing in surgery: A systematic review

Martelli, Nicolas; Serrano, Carole; Brink, Hélène van den; Pineau, Judith; Prognon, Patrice; Borget, Isabelle; Batti, Salma El

doi:10.1016/j.surg.2015.12.017

Cited by 505 publications

(443 citation statements)

References 159 publications

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“…In most cases, virtual models are reconstructed from a series of medical images acquired through computed tomography (CT), magnetic resonance imaging (MRI) or 3D echocardiography. 3D printing has been greatly developed in recent years by clinicians as a visualized aid for preoperative planning of orthopedic surgery, plastic surgery, and oncological surgery among other procedures [3]. Some clinicians have also used it for intraoperative orientation, postoperative follow-up, device design, hemodynamic simulation and medical education [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional printing in cardiology: Current applications and future challenges

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Three-dimensional printing in cardiology: Current applications and future challenges

et al. 2017

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“…Finally, cost is not the only barrier to the expanded implementation of the technology in hospitals, as 3D software and implant modelling requires specific skills that most surgeons do not have (8). Developments in ease-of-use software will likely address the issue of rapid implant design, that in the future will likely take place in the surgeons' office at the time of consultation.…”

Section: Discussionmentioning

confidence: 99%

“…A drill guide was also manufactured to contour match to the C2 lamina and lateral mass to guide a drills trajectories through the pars interarticularis and across the C12 lateral articulations. The corrected biomodel was translated to a 3D titanium printer (CSIRO, Australia), as defined by previous reviews (1,8). The final implant was printed as a porous titanium (Ti) patient specific prosthesis to assist with osseointegration around the device to encourage C1 and C2 arthrodesis (9).…”

Section: Case Presentationmentioning

confidence: 99%

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Application of a 3D custom printed patient specific spinal implant for C1/2 arthrodesis

Phan

Sgrò²,

Maharaj

et al. 2016

J. Spine Surg.

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The study aims to describe a three-dimensional printed (3DP) posterior fixation implant used for C1/ C2 fusion in a 65-year-old female. Spinal fusion remains a common intervention for a range of spinal pathologies including degenerative disc and facet disease when conservative methods are unsuccessful.However, fusion devices are not always entirely efficacious in providing the desired fixation, and surgeons rely on 'off the shelf' implants which may not provide an anatomical fit to address the particular pathology.3DP refers to a process where three-dimensional objects are created through successive layering of material, so called 'additive manufacturing'. Although this technology enables accurate fabrication of patient-specific orthopaedic and spinal implants, literature on its utilization in this regard is rare. A 65-year-old female, with severe facet arthropathy at the C1/C2 level, osteophyte formation and impingement of the exiting C2 nerve root underwent a C1/C2 posterior fusion and rhizolysis of the C2 nerve roots. A custom posterior fixation implant was designed and on-laid over the C2 spinous process and lamina, with screw holes made to a depth and angulation that was pre-calculated based on the preoperative CT based 3D modelling. The patient had an uneventful recovery and reported a significant reduction in occipital neuralgia and sub-occipital pain and 2-month follow-up. We report the first case of a customized 3DP spinal prosthesis for posterior C1/ C2 fusion. The implant added significant value reducing the overall time of the procedure, and safety with a reduced risk of neurovascular compromise.

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“…A variety of techniques can be used to print physical models from three-dimensional renderings based on CAD software, and STL design files. Whilst the use of this technology in medicine is still in its infancy, 3DP offers the possibility of revolutionising healthcare with its ability to rapidly create customized shapes from a wide range of materials (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Systematic review of 3D printing in spinal surgery: the current state of play

et al. 2017

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Three-dimensional printing (3DP), also known as "Additive Manufacturing", is a rapidly growing industry, particularly in the area of spinal surgery. Given the complex anatomy of the spine and delicate nature of surrounding structures, 3DP has the potential to aid surgical planning and procedural accuracy. We perform a systematic review of current literature on the applications of 3DP in spinal surgery. Six electronic databases were searched for original published studies reporting cases or outcomes for 3DP surgical models, guides or implants for spinal surgery. The findings of these studies were synthesized and summarized. These searches returned a combined 2,411 articles. Of these, 54 were included in this review. 3DP is currently used for surgical planning, intra-operative surgical guides, customised prostheses as well as "Off-the-Shelf" implants. The technology has the potential for enhanced implant properties, as well as decreased surgical time and better patient outcomes. The majority of the data thus far is from low-quality studies with inherent biases linked with the excitement of a new field. As the body of literature continues to expand, larger scale studies to evaluate advantages and disadvantages, and longer-term follow up will enhance our knowledge of the effect 3DP has in spinal surgery. In addition, issues such as financial impact, time to design and print, materials selection and bio-printing will evolve as this rapidly expanding field matures.

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Advantages and disadvantages of 3-dimensional printing in surgery: A systematic review

Cited by 505 publications

References 159 publications

Three-dimensional printing in cardiology: Current applications and future challenges

Three-dimensional printing in cardiology: Current applications and future challenges

Application of a 3D custom printed patient specific spinal implant for C1/2 arthrodesis

Systematic review of 3D printing in spinal surgery: the current state of play

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