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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2021 | Research article

A novel “three-dimensional-printed individual guide template-assisted percutaneous vertebroplasty” for osteoporotic vertebral compression fracture: a prospective, controlled study

Authors: Pei Lun Hu, Ji Sheng Lin, Hai Meng, Nan Su, Yong Yang, Qi Fei

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2021

Abstract

Background

Conventional percutaneous vertebroplasty (PVP) are mainly guided by C-arm fluoroscopy, and it usually leads to excessive X-ray radiation exposure to patients, surgeons, and anesthetists. Moreover, multi-time fluoroscope may prolong the operation time. 3D-printed template could help minimize fluoroscopy shot times and fluoroscopy dosage during operation, and shorten operation time. We perform this study to compare the efficacy and accuracy of PVP assisted by “three-dimensional printed individual guide template” versus conventional PVP.

Method

Patients who suffered acute painful single segment osteoporotic vertebral compression fracture(OVCF) needed operative treatment were randomly assigned into three-dimensional printing individual guide template-assisted percutaneous vertebroplasty group (group A) or conventional PVP guided by C-arm fluoroscopy group (group B) at a 1:1 ratio. Fluoroscopy times for puncture points (FTPP), total radiation dosages (TRD), total fluoroscopy time (TFT), and total operation time (TOT) were recorded as the main evaluation factors to evaluate the two operation procedures.

Results

A total of 36 acute painful single segment OVCF patients were successfully operated on, and each group has 18 patients. None of the patients presented symptomatic complications. The surgical success rate in group A was 94.4%(17/18), one patient in the group A was failed and then operated by conventional procedure. FTPP (1.8 ± 0.8 in group A vs 5.2 ± 1.9 in group B, P < 0.05), TRD (4.9 ± 0.9 mGy vs 7.9 ± 1.6 mGy, P < 0.05), TFT (16.7 ± 2.9 vs 26.6 ± 5.3, P < 0.05), and total operation time (19.4 ± 2.4 min vs 27.8 ± 4.0 min, P < 0.05) were presented statistically difference in the two groups. The incidence of cement leakage occurred in group A (3/18, 16.7%) was less than that occurred in group B (7/18, 38.9%) (P > 0.05).

Conclusions

Compared with the conventional PVP, “three-dimensional-printed individual guide template-assisted PVP” could minimize fluoroscopy shot times during operation and fluoroscopy dosage, shorten operation time, and is a more precise and feasible operation method.

Trial registration

The present study was registered with the Chinese Clinical Trial Registry (ChiCTR) (http://www.chictr.org.cn), and its registration no. is ChiCTR1900024283.

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Title: A novel “three-dimensional-printed individual guide template-assisted percutaneous vertebroplasty” for osteoporotic vertebral compression fracture: a prospective, controlled study
Authors: Pei Lun Hu
Ji Sheng Lin
Hai Meng
Nan Su
Yong Yang
Qi Fei
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2021
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-021-02471-w

2024 ASCO Annual Meeting

Springer Medicine

A novel “three-dimensional-printed individual guide template-assisted percutaneous vertebroplasty” for osteoporotic vertebral compression fracture: a prospective, controlled study

Abstract

Background

Method

Results

Conclusions

Trial registration

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Method

Results

Conclusions

Trial registration

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