Clinical Application of Personalized Digital Surgical Planning and Precise Execution for Severe and Complex Adult Spinal Deformity Correction Utilizing 3D Printing Techniques
Abstract
:1. Introduction
2. Materials and Methods
2.1. Construction of Pedicle Screw Insertion Guide Template
2.2. Construction of Osteotomy Guide Template
2.3. Model and Template Printing
2.4. Surgical Procedure
2.5. Data Collection
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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No. | Gender | Age (yrs.) | Diagnosis | Deformity Type | Instrumented Segments | Osteotomy Type | Osteotomy Position | Duration (min) | EBL (mL) | Blood Transfusion (mL) | Complications |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 39 | ADIS/revision | Kyphoscoliosis | T3-L4 | VCR | T10 | 400 | 700 | 480 | N |
2 | F | 33 | ADIS/revision | Kyphoscoliosis | T3-L4 | VCR | T10 | 420 | 800 | 800 | N |
3 | M | 43 | CS | Kyphoscoliosis | T10-L4 | PSO | L1 | 265 | 500 | 200 | N |
4 | M | 22 | CS | Kyphoscoliosis | T4-L4 | VCRs | T12/L1 | 455 | 1000 | 850 | N |
5 | M | 38 | TB | Kyphosis | T4-L2 | VCRs | T8/T9/T10 | 370 | 700 | 300 | N |
6 | F | 34 | CS | Scoliosis | T1-T12 | PSO | T5 | 380 | 1500 | 1300 | N |
7 | M | 33 | AS | Kyphosis | T8-L5 | PSOs | L1/L3 | 300 | 400 | 200 | N |
8 | F | 28 | CS | Kyphoscoliosis | T4-L5 | VCRs | T10/T11/T12 | 300 | 800 | 1575 | N |
No. | Pre-Operation | Post-Operation | Designed Osteotomy Angle (°) | Achieved Osteotomy Angle (°) | Achieved Correction Angle (°) | ROES (%) | Pedicle Accuracy | Modified Macnab Criteria | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Scoliosis (°) | Kyphosis (°) | Trunk Shift (mm) | SVA (mm) | Scoliosis (°) | Kyphosis (°) | Trunk Shift (mm) | SVA (mm) | Coronal | Sagittal | Coronal | Sagittal | Coronal | Sagittal | Coronal | Sagittal | |||
1 | 88 | 112 | 15 | 29 | 27 | 54 | 26 | 35 | 43 | 30 | 41 | 33 | 61 | 58 | 95.35 | 110.0 | 20/21 (95.24%) | Excellent |
2 | 118 | 96 | 36 | 22 | 60 | 34 | 14 | 5 | 48 | 25 | 45 | 23 | 58 | 62 | 93.75 | 92.0 | 21/23 (91.30%) | Excellent |
3 | 85 | 92 | 10 | 13 | 21 | 8 | 0 | 7 | 35 | 35 | 37 | 33 | 64 | 74 | 105.71 | 94.29 | 11/12 (91.67%) | Excellent |
4 | 107 | 118 | 19 | 59 | 31 | 45 | 7 | 34 | 60 | 45 | 57 | 47 | 76 | 73 | 95.0 | 104.44 | 20/22 (90.91%) | Good |
5 | - | 99 | 0 | 0 | - | 34 | 0 | 14 | - | 50 | - | 46 | - | 65 | - | 92.0 | 16/16 (100%) | Excellent |
6 | 87 | - | 32 | 2 | 30 | - | 3 | 2 | 35 | - | 36 | - | 57 | - | 102.86 | - | 17/19 (89.47%) | Excellent |
7 | - | 115 | - | 620 | - | 74 | - | 330 | - | 30 | - | 26 | - | 41 | - | 86.67 | 16/16 (100%) | Good |
8 | 111 | 138 | 16 | 35 | 36 | 45 | 28 | 23 | 57 | 55 | 55 | 51 | 75 | 93 | 96.49 | 92.73 | 18/21 (85.71%) | Excellent |
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Ding, H.; Hai, Y.; Zhou, L.; Liu, Y.; Zhang, Y.; Han, C.; Zhang, Y. Clinical Application of Personalized Digital Surgical Planning and Precise Execution for Severe and Complex Adult Spinal Deformity Correction Utilizing 3D Printing Techniques. J. Pers. Med. 2023, 13, 602. https://doi.org/10.3390/jpm13040602
Ding H, Hai Y, Zhou L, Liu Y, Zhang Y, Han C, Zhang Y. Clinical Application of Personalized Digital Surgical Planning and Precise Execution for Severe and Complex Adult Spinal Deformity Correction Utilizing 3D Printing Techniques. Journal of Personalized Medicine. 2023; 13(4):602. https://doi.org/10.3390/jpm13040602
Chicago/Turabian StyleDing, Hongtao, Yong Hai, Lijin Zhou, Yuzeng Liu, Yiqi Zhang, Chaofan Han, and Yangpu Zhang. 2023. "Clinical Application of Personalized Digital Surgical Planning and Precise Execution for Severe and Complex Adult Spinal Deformity Correction Utilizing 3D Printing Techniques" Journal of Personalized Medicine 13, no. 4: 602. https://doi.org/10.3390/jpm13040602