Recent advances of 3D-printing in spine surgery.

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.25259/SNI_460_2024
Javed Iqbal, Zaitoon Zafar, Georgios Skandalakis, Venkataramana Kuruba, Shreya Madan, Syed Faraz Kazim, Christian A Bowers
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Abstract

Background: The emerging use of three-dimensional printing (3DP) offers improved surgical planning and personalized care. The use of 3DP technology in spinal surgery has several common applications, including models for preoperative planning, biomodels, surgical guides, implants, and teaching tools.

Methods: A literature review was conducted to examine the current use of 3DP technology in spinal surgery and identify the challenges and limitations associated with its adoption.

Results: The review reveals that while 3DP technology offers the benefits of enhanced stability, improved surgical outcomes, and the feasibility of patient-specific solutions in spinal surgeries, several challenges remain significant impediments to widespread adoption. The obvious expected limitation is the high cost associated with implementing and maintaining a 3DP facility and creating customized patient-specific implants. Technological limitations, including the variability between medical imaging and en vivo surgical anatomy, along with the reproduction of intricate high-fidelity anatomical detail, pose additional challenges. Finally, the lack of comprehensive clinical monitoring, inadequate sample sizes, and high-quality scientific evidence all limit our understanding of the full scope of 3DP's utility in spinal surgery and preclude widespread adoption and implementation.

Conclusion: Despite the obvious challenges and limitations, ongoing research and development efforts are expected to address these issues, improving the accessibility and efficacy of 3DP technology in spinal surgeries. With further advancements, 3DP technology has the potential to revolutionize spinal surgery by providing personalized implants and precise surgical planning, ultimately improving patient outcomes and surgical efficiency.

三维打印技术在脊柱外科领域的最新进展。
背景:新兴的三维打印(3DP)技术可改善手术规划和个性化护理。3DP 技术在脊柱手术中的应用有几种常见方式,包括术前规划模型、生物模型、手术指南、植入物和教学工具:方法:进行文献综述,研究当前 3DP 技术在脊柱手术中的应用,并确定与采用该技术相关的挑战和限制:结果:综述显示,虽然 3DP 技术具有增强稳定性、改善手术效果以及在脊柱手术中提供特定患者解决方案的可行性等优点,但仍存在一些挑战,严重阻碍了该技术的广泛应用。显而易见的预期限制是,实施和维护 3DP 设备以及创建定制的患者特异性植入物的相关成本较高。技术上的限制,包括医学成像和活体手术解剖之间的差异,以及复杂的高保真解剖细节的再现,都带来了额外的挑战。最后,缺乏全面的临床监测、样本量不足以及高质量的科学证据都限制了我们对 3DP 在脊柱手术中的应用范围的全面了解,妨碍了其广泛采用和实施:尽管存在明显的挑战和局限性,但正在进行的研发工作有望解决这些问题,提高 3DP 技术在脊柱手术中的可及性和有效性。随着技术的进一步发展,3DP 技术有可能通过提供个性化植入物和精确的手术规划彻底改变脊柱外科手术,最终改善患者预后,提高手术效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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