En Bloc Resection of Primary Malignant Bone Tumor in the Cervical Spine Based on 3‐Dimensional Printing Technology

Xiao, Jianru; Huang, Wending; Yang, Xianghong; Yan, Wangjun; Song, Dianwen; Wei, Haifeng; Liu, Tie‐long; Wu, Zhipeng; Yang, Cheng

doi:10.1111/os.12234

Cited by 72 publications

(47 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is a readily available and inexpensive method. 3D printing have been applied in several studies, which is used for preoperative observation and individualized preoperative design, in treating upper cervical diseases [9] and spinal tumors [10]. We supposed that 3D printing technique could improve the accuracy of bare-hands screw placement and reduce empirical errors.…”

Section: Introductionmentioning

confidence: 99%

3D printing–assisted preoperative plan of pedicle screw placement for middle-upper thoracic trauma: a cohort study

Zhang

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundThis study aimed to evaluate the application of 3D printing in assisting preoperative plan of pedicle screw placement for treating middle-upper thoracic trauma.MethodsA preoperative plan was implemented in seven patients suffering from middle-upper thoracic (T3–T7) trauma between March 2013 and February 2016. In the 3D printing models, entry points of 56 pedicle screws (Magerl method) and 4 important parameters of the pedicle screws were measured, including optimal diameter (ϕ, mm), length (L, mm), inclined angle (α), head-tilting angle (+β), and tail-tilting angle (−β). In the surgery, bare-hands fixation of pedicle screws was performed using 3D printing models and the measured parameters as guidance.ResultsA total of seven patients were enrolled, including five men and two women, with the age of 21–62 years (mean age of 37.7 years). The position of the pedicle screw was evaluated postoperatively using a computerized tomography scan. Totally, 56 pedicle screws were placed, including 33 pieces of level 0, 18 pieces of level 1, 4 pieces of level 2 (pierced lateral wall), and 1 piece of level 3 (pierced lateral wall, no adverse consequences), with a fine rate of 91.0%.Conclusions3D printing technique is an intuitive and effective assistive technology to pedicle screw fixation for treating middle-upper thoracic vertebrae, which improve the accuracy of bare-hands screw placement and reduce empirical errors.Trial registrationThe trial was approved by the Ethics Committee of the Fujian Provincial Hospital. It was registered on March 1st, 2013, and the registration number was K2013–03-001.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1703-1) contains supplementary material, which is available to authorized users.

show abstract

Section: Introductionmentioning

confidence: 99%

3D printing–assisted preoperative plan of pedicle screw placement for middle-upper thoracic trauma: a cohort study

Zhang

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…10 Recently, several navigation template systems for high cervical spine were reported. [21][22][23][24][25][26][27] Although lack large comparative study, accuracy of cervical pedicle screw insertion using guiding template showed no inferior to previous methods. 10 3D-printed personalized guiding template has advantage in addition to accuracy, such as less radiation exposure, lower operation time, and shorter learning curve.…”

Section: Discussionmentioning

confidence: 99%

3D-Customized Guiding Template for Posterior Fixation in Complex Atlantoaxial Instability—Preliminary Experiences of National Cheng Kung University Hospital

et al. 2020

View full text Add to dashboard Cite

Objective Atlantoaxial fixation is technically demanding and challenging, especially in cases with anatomical abnormality. The purpose of this study is to report the effectiveness of the three-dimensional (3D)-customized guiding template for placement of C1 and C2 screws in cases with abnormalities. Method Two patients with anatomical abnormality and one without were included. The preoperative computed tomography (CT) image was analyzed using our software. The entry point, trajectory, and depth of the screws were designed based on these images. Templates with screw guiding cylinders and cervical spine model were created. In operation, guiding templates were applied directly to the laminae. Drilling, tapping, and screwing were performed through the cylinders. To evaluate the accuracy, deviation of the screw axis from the preplanned trajectory was measured on postoperative CT. A classification system was taking to evaluate the pedicle screw insertion. Results In complex cases, one of C2 screws has grade 2 deviation, and two has grade 1. There was no deviation in screws of C1. All patients achieved symptoms free after 6 months follow-up. Conclusion Although 3D-printed template for atlantoaxial fixation still has limitation in complex cases, it has been proved usefulness and makes the most difficult and dangerous spinal posterior fixation easy to achieve.

show abstract

“…With development and innovation of the technology driving down costs, the use of 3Dp has become more widespread, eventually resulting in United States Food and Drug Administration approval for several 3Dp devices (Lee, 2016). As described above, 3Dp has many advantages for surgical usage and has become particularly popular in orthopaedic, maxillofacial, cranial and spinal surgery (Guenette et al, 2016;Liew et al, 2015;Onerci Altunay et al, 2016;Schwam et al, 2016;Tack et al, 2016;Wiedermann, et al, 2017;Xiao et al, 2016;Yang et al, 2016), whilst a growing number of case studies have described its use in fields such as interventional radiology (Ghisiawan, et al, 2017;Hossien et al, 2016;Kurup et al, 2015;Schmauss et al, 2015;Shi, et al, 2015;Sodian et al, 2009), paediatric surgery (Morrison et al, 2015;Schmauss et al, 2015) and oncological surgery (Al Jabbari et al, 2016;Bernhard et al, 2016;Matsumoto et al, 2016). To date, 3Dp models have been used primarily as surgical guides and for pre-operative surgical planning (Tack et al, 2016).…”

Section: Medical Usagementioning

confidence: 99%

“…Using a 3Dp model as a navigational guide can allow surgeons to proceed more safely. A safe resection margin during an en-bloc cervical spondylectomy for a primary malignant bone tumor has been planned, identifying which neurovascular structures must be sacrificed or could be avoided (Xiao et al, 2016). In some cases, the pre-operative identification of tumor borders resulted in a smaller incision and less invasive approach, factors that could impact upon recovery (Al Jabbari et al, 2016;Matsumoto et al, 2016).…”

Section: Medical Usagementioning

confidence: 99%

The role of 3D printing in anatomy education and surgical training: A narrative review

Li¹,

Kui²,

Lee³

et al. 2017

MedEdPublish

View full text Add to dashboard Cite

Recent expansions in the development and availability of three-dimensional printing (3Dp) have led to the uptake of this valuable and effective technology within the modern context of medical education. It is proposed that 3Dp is entirely appropriate for the creation of anatomical models for purposes of teaching and training due to the ability of this technology to produce accurate 3D physical representations based on a processed data set acquired from sources including magnetic resonance imaging (MRI) and computed tomography (CT). When investigating the currently available educational research with respect to 3Dp, it is important that the best evidence supporting the practical and theoretical benefits of this technology in teaching and training can be identified, while any obstacles to the effective implementation of 3Dp can also be determined. Here, literature describing recent primary research with respect to the capability and utility of 3Dp in anatomy and surgery have been explored in a narrative review. The impact on resources of implementing this technology within medical education have also been investigated. In order to emphasise wider applications in medicine, the role of 3Dp in medical practice and research have also been examined. To identify recent literature appropriate for this review published up to March 2017, suitable search terms were determined and applied using PubMed and results were judged against an established checklist. The research identified was then allocated with respect to the agreed topic areas of anatomy education, surgical training, medical usage and medical research. A student partnership approach was utilised for this review and the focus of the work was driven by undergraduate students in collaboration with anatomy and medical educators. Preliminary findings from this narrative review support the implementation of 3Dp in anatomy education and surgical training as a supplement to traditional learning approaches.

show abstract

En Bloc Resection of Primary Malignant Bone Tumor in the Cervical Spine Based on 3‐Dimensional Printing Technology

Cited by 72 publications

References 44 publications

3D printing–assisted preoperative plan of pedicle screw placement for middle-upper thoracic trauma: a cohort study

3D printing–assisted preoperative plan of pedicle screw placement for middle-upper thoracic trauma: a cohort study

3D-Customized Guiding Template for Posterior Fixation in Complex Atlantoaxial Instability—Preliminary Experiences of National Cheng Kung University Hospital

The role of 3D printing in anatomy education and surgical training: A narrative review

Contact Info

Product

Resources

About