ArticleFrontiers in neurology2026
3D-printed patient-specific guides improve screw accuracy in upper cervical spine surgery: a comparative study.
Article in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate the feasibility and clinical efficacy of patient-specific 3D-printed guide plates for pedicle screw placement in the upper cervical spine, compared with the conventional free-hand technique. Methods: A retrospective analysis was conducted on 39 patients who underwent upper cervical spine surgery between June 2009 and June 2022. Patients were divided into a guide plate group ( Results: A total of 141 pedicle screws were placed. The guide plate group achieved a significantly higher rate of perfect screw placement (81.8 vs. 62.3%, Conclusion: Patient-specific 3D-printed guide plates significantly improve screw placement accuracy and reduce operative time, blood loss, and radiation exposure in upper cervical spine surgery, while achieving clinical outcomes comparable to the free-hand technique. This method is a safe and effective alternative for upper cervical pedicle screw fixation.
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