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Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors

PURPOSE: To examine the effects of 3D printing model in total en bloc spondylectomy (TES). METHODS: We performed a retrospective chart review of 41 cases of spinal tumors at our institution between 2017 and 2020, in which TES was applied. There were 19 cases with 3D printing model and 22 cases witho...

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Autores principales: Wang, Yushan, Xiang, Yi, Tian, Qiaoqiao, Luo, Wei, Fan, Hao, Ren, Peng, Lv, Zhi, Lv, Jia, Bai, Junjun, Qiao, Xiaochen, Feng, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453004/
https://www.ncbi.nlm.nih.gov/pubmed/36090453
http://dx.doi.org/10.1155/2022/7907191
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author Wang, Yushan
Xiang, Yi
Tian, Qiaoqiao
Luo, Wei
Fan, Hao
Ren, Peng
Lv, Zhi
Lv, Jia
Bai, Junjun
Qiao, Xiaochen
Feng, Yi
author_facet Wang, Yushan
Xiang, Yi
Tian, Qiaoqiao
Luo, Wei
Fan, Hao
Ren, Peng
Lv, Zhi
Lv, Jia
Bai, Junjun
Qiao, Xiaochen
Feng, Yi
author_sort Wang, Yushan
collection PubMed
description PURPOSE: To examine the effects of 3D printing model in total en bloc spondylectomy (TES). METHODS: We performed a retrospective chart review of 41 cases of spinal tumors at our institution between 2017 and 2020, in which TES was applied. There were 19 cases with 3D printing model and 22 cases without 3D printing model. Operation time, intraoperative blood loss, excision range, complications, VAS, and ASIA grades were recorded. Statistical methods were used to analyze the data. KaplanMeier survival curve was made to evaluate the survival. RESULT: There were significant differences in intraoperative blood loss between the two groups. The rate of R0 resection and tumor envelope preservation were higher in 3D group than that in non-3D group. In 3D group, the complications included surgical site infection (5.2%) and cerebrospinal fluid leak (15.7%). In non-3D group, the complications included cerebrospinal fluid leak (27.3%) and nerve root injury (13.6%). The pain and neurological dysfunction were significantly relieved before and after surgery in 3D group. However, the neurological relief in non-3D group patients was not complete. The VAS scores of non-3D group at 6 months after surgery were much higher than that of 3D group. CONCLUSION: The application of 3D printing model not only helps surgeons observe the morphology, invasion range, and anatomic relationship of the tumor preoperatively, but also assists surgeons to judge, locate, and separate the tumor intraoperatively. For spinal malignancies, the 3D printing model is worth promoting.
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spelling pubmed-94530042022-09-09 Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors Wang, Yushan Xiang, Yi Tian, Qiaoqiao Luo, Wei Fan, Hao Ren, Peng Lv, Zhi Lv, Jia Bai, Junjun Qiao, Xiaochen Feng, Yi J Healthc Eng Research Article PURPOSE: To examine the effects of 3D printing model in total en bloc spondylectomy (TES). METHODS: We performed a retrospective chart review of 41 cases of spinal tumors at our institution between 2017 and 2020, in which TES was applied. There were 19 cases with 3D printing model and 22 cases without 3D printing model. Operation time, intraoperative blood loss, excision range, complications, VAS, and ASIA grades were recorded. Statistical methods were used to analyze the data. KaplanMeier survival curve was made to evaluate the survival. RESULT: There were significant differences in intraoperative blood loss between the two groups. The rate of R0 resection and tumor envelope preservation were higher in 3D group than that in non-3D group. In 3D group, the complications included surgical site infection (5.2%) and cerebrospinal fluid leak (15.7%). In non-3D group, the complications included cerebrospinal fluid leak (27.3%) and nerve root injury (13.6%). The pain and neurological dysfunction were significantly relieved before and after surgery in 3D group. However, the neurological relief in non-3D group patients was not complete. The VAS scores of non-3D group at 6 months after surgery were much higher than that of 3D group. CONCLUSION: The application of 3D printing model not only helps surgeons observe the morphology, invasion range, and anatomic relationship of the tumor preoperatively, but also assists surgeons to judge, locate, and separate the tumor intraoperatively. For spinal malignancies, the 3D printing model is worth promoting. Hindawi 2022-08-31 /pmc/articles/PMC9453004/ /pubmed/36090453 http://dx.doi.org/10.1155/2022/7907191 Text en Copyright © 2022 Yushan Wang et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wang, Yushan
Xiang, Yi
Tian, Qiaoqiao
Luo, Wei
Fan, Hao
Ren, Peng
Lv, Zhi
Lv, Jia
Bai, Junjun
Qiao, Xiaochen
Feng, Yi
Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors
title Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors
title_full Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors
title_fullStr Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors
title_full_unstemmed Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors
title_short Application of Image-Fusion 3D Printing Model in Total En Bloc Spondylectomy for Spinal Malignant Tumors
title_sort application of image-fusion 3d printing model in total en bloc spondylectomy for spinal malignant tumors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453004/
https://www.ncbi.nlm.nih.gov/pubmed/36090453
http://dx.doi.org/10.1155/2022/7907191
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