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低塑性脚的仪器仪表与患者特定的指南
Mazda Farshad1, Christoph Zindel1, Nico Akhavan Safa1
1Department of Spine Surgery, Balgrist University Hospital Zürich, University of Zürich, Forchstrasse 340, 8008, Zurich, CH, Switzerland.
Spine deformity
|April 1, 2024
概括
针对患者的3D打印指南有助于在低可塑性胸脊椎中进行脚螺杆仪器仪表. 这种技术被证明是有效的,特别是当脚宽度与螺丝直径的比率超过0.62时,将并发症降到最低.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形技术 整形技术
- 生物医学工程 生物医学工程
背景情况:
- 胸脊椎中的低塑性脚 (直径<5毫米) 对脚螺杆仪器仪表提出了重大挑战.
- 传统的固定方法,如子或亚层电线,对于这些狭窄的脚可能不那么有效.
研究的目的:
- 评估使用3D打印的患者特定指南的手术可行性和临床结果,用于在患有低可塑性胸脚的患者中使用脚螺杆仪器.
- 评估患者特定指南是否能够克服解剖学上的困难,并减少对不太有效的固定方法的依赖.
主要方法:
- 在6名患者中通过手术前CT扫描识别低塑性脚 (<5毫米).
- 基于CT数据创建患者特定的3D打印指南,以准确放置螺丝.
- 术后分析与脚螺丝相关的并发症和修复率.
主要成果:
- 88.6%的脚螺丝成功使用患者特定指南进行了仪器仪表.
- 66.7%的仪器踏板是低塑性的 (平均宽度为3.07毫米).
- 观察到9.7%的低并发症率,包括脑脊液泄漏和神经根冲击,主要是当脚宽度与螺丝直径的比率为<0.62.2时.
结论:
- 针对患者的3D打印指南是一个可行的解决方案,用于挑战胸脊柱的脚螺杆仪器仪表.
- 使用这些指南是特别有益的,当脚的宽度与螺丝直径的比率是>0.62,改善手术结果.
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