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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.
Afiliación
  • Wang Y; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Xiang Y; Department of Orthpaedics, The Logistics Support Forces of Chinese PLA 985 Hospital, Taiyuan, Shanxi, China.
  • Tian Q; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Luo W; School of Material, Taiyuan University of Technology, Taiyuan, Shanxi, China.
  • Fan H; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Ren P; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Lv Z; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Lv J; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Bai J; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Qiao X; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
  • Feng Y; Department of Orthopedics, The Second Affiliated Hospital of Shanxi Medical University, No. 382 of 51 Road, Taiyuan, Shanxi, China.
J Healthc Eng ; 2022: 7907191, 2022.
Article en En | MEDLINE | ID: mdl-36090453
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.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Columna Vertebral Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans Idioma: En Revista: J Healthc Eng Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Columna Vertebral Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans Idioma: En Revista: J Healthc Eng Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido