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3D-printed models in atlantoaxial surgery training: a comparative study and questionnaire survey
Yinglun Tian1,2,3, Kan-Lin Hung1,2,3, Shilin Xue1,2,3
1Department of Orthopaedics, Peking University Third Hospital, No 49. North Garden Road, Beijing, HaiDian District, 100191, China.
Neurosurgical Review
|December 14, 2025
Summary
Three-dimensional (3D) printing enhances atlantoaxial surgery training by providing realistic anatomical models. This improves surgical trainees
Area of Science:
- Neurosurgery
- Medical Education
- Biomedical Engineering
Background:
- Atlantoaxial surgery training faces challenges due to limited case numbers and complexity.
- Research in optimizing surgical training for these procedures is scarce.
- Three-dimensional (3D) printing offers potential for creating high-fidelity anatomical models.
Purpose of the Study:
- To explore the role of custom 3D-printed models in atlantoaxial surgery training.
- To assess the impact of 3D models on anatomical understanding and surgical technique acquisition.
Main Methods:
- A mixed-methods approach combining lectures, 3D-printed models, and cadaveric practice.
- Participants were randomized into a study group (received 3D models) and a control group.
- Performance was assessed via pre- and post-course quizzes and self-assessment questionnaires.
Main Results:
- The study group showed significant improvement in post-course quiz scores compared to the control group (p=0.044).
- Enhanced understanding of atlantoaxial anatomy was noted in the study group (p=0.09).
- A majority of participants found 3D models beneficial for understanding anatomy (24/27) and surgical techniques (21/27).
Conclusions:
- Custom 3D-printed models can be a valuable adjunct for atlantoaxial surgery training.
- These models improve anatomical comprehension and trainee confidence.
- Further large-scale validation is needed due to preliminary findings and small sample size.

