ArticleBMC musculoskeletal disorders2021
3D printed templates improve the accuracy and safety of pedicle screw placement in the treatment of pediatric congenital scoliosis.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Clinical applications of 3D printing in spine surgery: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Pooled it
- Three-Dimensional Printing in Pediatric Orthopaedics: Cost Analysis and Emerging Applications.Journal of the Pediatric Orthopaedic Society of North America · 2026Review
- Clinical Application of Surgical Guides in MARPE: Observational Research.Journal of clinical medicine · 2026Article
- The application of robotic and artificial intelligence technologies in spinal surgery: a review focused on prospects in remote areas of China.Journal of robotic surgery · 2025Review
- Review
- The Role of 3D Printed Spine Model in Complex Spinal Deformity Surgery; an Experience With a Case, Technical Notes and Review of the Literature.Clinical case reports · 2025Article
- Comparison Between 3D-Printed Drill Guides and Freehand Surgery for Pedicle Screw Instrumentation in Children and Adolescents with Congenital Scoliosis: A Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2025Review
- Three-Dimensional Printing Applications in Pediatric Spinal Surgery: A Systematic Review.Global spine journal · 2024Review
- Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis.Bioengineering (Basel, Switzerland) · 2023Article
- Let's think beyond the pedicle: A biomechanical study of a new conceptual extra pedicular screw and hook construct.Journal of clinical orthopaedics and trauma · 2023Article
- The expanding use of three-dimensional printing in orthopaedic and spine surgery.Journal of spine surgery (Hong Kong) · 2022Article
- 3D printing applications in spine surgery: an evidence-based assessment toward personalized patient care.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThree-dimensional (3-D) printed guidance templates are being increasingly used in spine surgery. The purpose of this study was to determine if 3D printed navigation templates can improve the accuracy of pedicle screw placement and decrease the complication rate compared to freehand screw placement in the treatment of children with congenital scoliosis.
methodsThe records of pediatric patients with congenital scoliosis treated at our hospital from January 2017 to January 2019 were retrospectively reviewed. Patients were divided into those where a 3D printed guidance templated was used and those in which the freehand method was used for pedicle screw placement. The accuracy rate of pedicle screw placement, surgical outcomes, and complications were compared between groups.
resultsA total of 67 children with congenital scoliosis were included (43 males and 24 females; mean age of 4.13 ± 2.66 years; range, 2-15 years). There were 34 children in the template-assisted group and 33 in the freehand group. The excellent accuracy rate of pedicle screw placement was significantly higher in the template-assisted group (96.10% vs. 88.64%, P = 0.007). The main Cobb angle and kyphosis angle were similar between the 2 groups preoperatively and postoperatively (all, P > 0.05), and in both groups both angles were significantly decreased after surgery as compared to the preoperative values (all, P < 0.001). The degree of change of the Cobb angle of the main curve and kyphosis angle were not significantly different between the 2 groups. There were no postoperative complications in the template group and 4 in the freehand group (0% vs. 12.12%; P = 0.009). All 4 patients with complications required revision surgery.
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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.