ArticleBioMed research international2019
The Accuracy of 3D Printing Assistance in the Spinal Deformity Surgery.
Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 36 citations in OpenAlex.
- Patient-specific three-dimensional printing spine model for surgical planning in AO spine type-C fracture posterior long-segment fixation.Acta orthopaedica et traumatologica turcica · 2022Trial
- A Systematic Review of 3D-Printing in Spine Surgery: Applications, Accuracy, and Outcomes.Healthcare (Basel, Switzerland) · 2026Review
- Three-Dimensional Printing in Pediatric Orthopaedics: Cost Analysis and Emerging Applications.Journal of the Pediatric Orthopaedic Society of North America · 2026Review
- Preoperative Virtual Planning Combined with 3D-Printed Surgical Guide Technology for Correction of Shepherd's Crook Deformity: A Case Report.The American journal of case reports · 2025Article
- Surgical management of severe neglected adult idiopathic scoliosis: A review article on challenges and contemporary treatment strategies.Journal of clinical orthopaedics and trauma · 2025Article
- Risk of neurologic deficit in medially breached pedicle screws assessed by computed tomography: a systematic review.Asian spine journal · 2024Article
- Evaluating the Status and Promising Potential of Robotic Spinal Surgery Systems.Orthopaedic surgery · 2024Review
- Three-Dimensional Printing Applications in Pediatric Spinal Surgery: A Systematic Review.Global spine journal · 2024Review
- Surgical Medical Education via 3D Bioprinting: Modular System for Endovascular Training.Bioengineering (Basel, Switzerland) · 2024Article
- The Integration of 3D Virtual Reality and 3D Printing Technology as Innovative Approaches to Preoperative Planning in Neuro-Oncology.Journal of personalized medicine · 2024Article
- Exploring the transformative role of 3D printing in advancing medical education in Africa: a review.Annals of medicine and surgery (2012) · 2023Review
- 3D Printing Technology in Pediatric Orthopedics: a Primer for the Clinician.Current reviews in musculoskeletal medicine · 2023Review
- Safety and Efficacy of Intraoperative Doppler Sonography-Assisted Cervical Pedicle Screw Fixation-A Retrospective Comparison with Conventional Pedicle Screw Implantation.Global spine journal · 2023Article
- 3D printing in spine care: A review of current applications.Journal of clinical orthopaedics and trauma · 2022Article
- Clinical applications and prospects of 3D printing guide templates in orthopaedics.Journal of orthopaedic translation · 2022Review
- The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals-Cross-Sectional Multispecialty Review.International journal of environmental research and public health · 2022Review
- 3D model-assisted instrumentation of the pediatric spine: a technical note.Journal of orthopaedic surgery and research · 2021Article
- Preoperative Planning Using 3D Printing Technology in Orthopedic Surgery.BioMed research international · 2021Review
- Preoperative planning for intraoperative navigation guidance.Annals of translational medicine · 2021Review
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe pedicle screw is one of the main tools used in spinal deformity correction surgery. Robotic and navigated surgeries are usually used, and they provide superior accuracy in pedicle screw placement than free-hand and fluoroscopy-guided techniques. However, their high cost and space limitation are problematic. We provide a new solution using 3D printing technology to facilitate spinal deformity surgery.
methodsA workflow was developed to assist spinal deformity surgery using 3D printing technology. The trajectory and profile of pedicle screws were determined on the image system by the surgical team. The engineering team designed drill templates based on the bony surface anatomy and the trajectory of pedicle screws. Their effectiveness and safety were evaluated during a preoperative simulation surgery. The surgery consisted in making a pilot hole through the drill template on a computed tomography- (CT-) based, full-scale 3D spine model for every planned segment. Somatosensory evoke potential (SSEP) and motor evoke potential (MEP) were used for intraoperative neurophysiological monitoring. Postoperative CT was obtained 6 months after the correction surgery to confirm the screw accuracy.
resultsFrom July 2015 to November 2016, we performed 10 spinal deformity surgeries with 3D printing technology assistance. In total, 173 pedicle screws were implanted using drill templates. No notable change in SSEP and MEP or neurologic deficit was noted. Based on postoperative CT scans, the acceptable rate was 97.1% (168/173). We recorded twelve pedicle screws with medial breach, six with lateral breach, and five with inferior breach. Medial breach (12/23) was the main type of penetration. Lateral breach occurred mostly in the concave side (5/6). Most penetrations occurred above the T8 level (69.6%, 16/23).
conclusion3D printing technology provides an effective alternative for spinal deformity surgery when expensive medical equipment, such as intraoperative navigation and robotic systems, is unavailable.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.