Abstract
In the past 5 years, the application of 3D printing technology in the field of spine surgery had obtained enormous and substantial progress. Among which, vertebral skeleton model (including lesion model) printing has been widely used in clinical application due to its relatively simple technology and low cost. It shows practical value and becomes popular as the reference of clinical education, auxiliary diagnosis, communication between doctor and patient, and the planning of surgical approaches as well as the reference of more accurate operation in surgery. On the basis of vertebral skeleton model printing, it can be used to design and make navigation template to guide internal fixation screw, which also obtains some remarkable clinical effects. However, 3D printing technology has a more profound influence on spine surgery. The part with full expectation is undoubtedly the clinical application of 3D printing microporous metal implant and personalized implant as well as the clinical application of 3D printing biological materials in the future.
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References
Kuklo TR, Lenke LG, O'brien MF et al (2005) Accuracy and efficacy of thoracic pedicle screws in curves more than 90 degrees. Spine 30:222–226
Samdani AF, Ranade A, Sciubba DM et al (2010) Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make? Eur Spine J 19:91–95
Hicks JM, Singla A, Shen FH et al (2010) Complications of pedicle screw fixation in scoliosis surgery: a systematic review. Spine 35:465–470
D'urso PS, Askin G, Earwaker JS et al (1999) Spinal biomodeling. Spine 24:1247–1251
D'urso PS, Barker TM, Earwaker WJ et al (1999) Stereolithographic biomodelling in cranio-maxillofacial surgery: a prospective trial. J Craniomaxillofac Surg 27:30–37
Yang M, Li C, Li Y et al (2015) Application of 3D rapid prototyping technology in posterior corrective surgery for Lenke 1 adolescent idiopathic scoliosis patients. Medicine 94:1–8
Madrazo I, Zamorano C, Magallon E et al (2009) Stereolithography in spine pathology: a 2-case report. Surg Neurol 72:272–275 discussion 275
Guarino J, Tennyson S, Mccain G et al (2007) Rapid prototyping technology for surgeries of the pediatric spine and pelvis: benefits analysis. J Pediatr Orthop 27:955–960
Hu Y, Yuan ZS, Kepler CK et al (2014) Deviation analysis of atlantoaxial pedicle screws assisted by a drill template. Orthopedics 37:e420–e427
Sugawara T, Higashiyama N, Kaneyama S et al (2017) Accurate and simple screw insertion procedure with patient-specific screw guide templates for posterior C1-C2 fixation. Spine 42:E340–E346
Goffin J, Van Brussel K, Martens et al (2001) Three-dimensional computed tomography-based, personalized drill guide for posterior cervical stabilization at C1-C2. Spine 26:1343–1347
Kaneyama S, Sugawara T, Sumi M (2015) Safe and accurate midcervical pedicle screw insertion procedure with the patient-specific screw guide template system. Spine 40:E341–E348
Fu M, Lin L, Kong X et al (2013) Construction and accuracy assessment of patient-specific biocompatible drill template for cervical anterior transpedicular screw (ATPS) insertion: an in vitro study. PLoS One 8:e53580. https://doi.org/10.1371/journal.pone.0053580
Ma T, Xu YQ, Cheng YB et al (2012) A novel computer-assisted drill guide template for thoracic pedicle screw placement: a cadaveric study. Arch Orthop Trauma Surg 132:65–72
Sugawara T, Higashiyama N, Kaneyama S et al (2013) Multistep pedicle screw insertion procedure with patient-specific lamina fit-and-lock templates for the thoracic spine: clinical article. J Neurosurg Spine 19:185–190
Merc M, Drstvensek I, Vogrin M et al (2013) A multi-level rapid prototyping drill guide template reduces the perforation risk of pedicle screw placement in the lumbar and sacral spine. Arch Orthop Trauma Surg 133:893–899
Lu S, Zhang YZ, Wang Z et al (2012) Accuracy and efficacy of thoracic pedicle screws in scoliosis with patient-specific drill template. Med Biol Eng Comput 50:751–758
Putzier M, Strube P, Cecchinato R et al (2017) A new navigational tool for pedicle screw placement in patients with severe scoliosis: a pilot study to prove feasibility, accuracy, and identify operative challenges. Clin Spine Surg 30: E430–E439
Azimifar F, Hassani K, Saveh AH et al (2017) A medium invasiveness multi-level patient's specific template for pedicle screw placement in the scoliosis surgery. Biomed Eng Online 16:130
Mirza SK, Wiggins GC, Kuntz CT et al (2003) Accuracy of thoracic vertebral body screw placement using standard fluoroscopy, fluoroscopic image guidance, and computed tomographic image guidance: a cadaver study. Spine 28:402–413
Yang J, Cai H, Lv J et al (2014) In vivo study of a self-stabilizing artificial vertebral body fabricated by electron beam melting. Spine 39:E486–E492
Mohammad-Shahi MH, Nikolaou VS, Giannitsios D et al (2013) The effect of angular mismatch between vertebral endplate and vertebral body replacement endplate on implant subsidence. J Spinal Disord Tech 26:268–273
Fengbin Y, Jinhao M, Xinyuan L et al (2013) Evaluation of a new type of titanium mesh cage versus the traditional titanium mesh cage for single-level, anterior cervical corpectomy and fusion. Eur Spine J 22:2891–2896
Xu N, Wei F, Liu X et al (2016) Reconstruction of the upper cervical spine using a personalized 3D-printed vertebral body in an adolescent with Ewing sarcoma. Spine 41:E50–E54
Wei F, Liu Z, Liu X et al (2015) An approach to primary tumors of the upper cervical spine with Spondylectomy using a combined approach: our experience with 19 cases. Spine Res Soc 22:2891–2896
Lv J, Xiu P, Tan J et al (2015) Enhanced angiogenesis and osteogenesis in critical bone defects by the controlled release of BMP-2 and VEGF: implantation of electron beam melting-fabricated porous Ti6Al4V scaffolds incorporating growth factor-doped fibrin glue. Biomad Mater 10(3):035013. https://doi.org/10.1088/1748-6041/10/3/035013
Kim D, Lim JY, Shim KW et al (2017) Sacral reconstruction with a 3D-printed implant after Hemisacrectomy in a patient with sacral osteosarcoma: 1-year follow-up result. Yonsei Med J 58: 453–457
Wei R, Guo W, Ji T et al (2017) One-step reconstruction with a 3D-printed, custom-made prosthesis after total en bloc sacrectomy: a technical note. Eur Spine J 26:1902–1909
Mobbs RJ, Coughlan M, Thompson R et al (2017) The utility of 3D printing for surgical planning and patient-specific implant design for complex spinal pathologies: case report. J Neurosurg Spine 26:513–518
Choy WJ, Mobbs RJ, Wilcox B et al (2017) Reconstruction of thoracic spine using a personalized 3D-printed vertebral body in adolescent with T9 primary bone tumor. World Neurosurg, 105:1032 e1013–1032 e1017
Li X, Wang Y, Zhao Y et al (2017) Multilevel 3D printing implant for reconstructing cervical spine with metastatic papillary thyroid carcinoma. Spine 42:E1326–E1330
Xiu P, Jia Z, Lv J et al (2016) Tailored surface treatment of 3D printed porous Ti6Al4V by microarc oxidation for enhanced Osseointegration via optimized bone in-growth patterns and interlocked bone/implant Interface. ACS Appl Mater Interfaces 8:17964–17975
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Cai, H., Liu, Z., Wei, F., Yu, M., Xu, N., Li, Z. (2018). 3D Printing in Spine Surgery. In: Zheng, G., Tian, W., Zhuang, X. (eds) Intelligent Orthopaedics. Advances in Experimental Medicine and Biology, vol 1093. Springer, Singapore. https://doi.org/10.1007/978-981-13-1396-7_27
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DOI: https://doi.org/10.1007/978-981-13-1396-7_27
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