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Utility of 3D-Printed Models in the Surgical Planning for Primary Spine Tumors: A Survey of International Spinal Oncology Experts.
Mikula, Anthony L; Rhines, Laurence D; Patel, Shalin S; Pennington, Zach; Karim, S Mohammed; Morris, Jonathan M; Tappa, Karthik; Alvarez-Breckenridge, Christopher; North, Robert Y; Tatsui, Claudio E; Rose, Peter S; Clarke, Michelle J; Bird, Justin E.
Afiliación
  • Mikula AL; Department of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
  • Rhines LD; Department of Neurological Surgery, MD Anderson Cancer Center, Houston, TX, USA.
  • Patel SS; Department of Orthopedic Oncology, MD Anderson Cancer Center, Houston, TX.
  • Pennington Z; Department of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
  • Karim SM; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Morris JM; Department of Radiology, Mayo Clinic, Rochester, MN, USA.
  • Tappa K; Department of Orthopedic Oncology, MD Anderson Cancer Center, Houston, TX.
  • Alvarez-Breckenridge C; Department of Neurological Surgery, MD Anderson Cancer Center, Houston, TX, USA.
  • North RY; Department of Neurological Surgery, MD Anderson Cancer Center, Houston, TX, USA.
  • Tatsui CE; Department of Neurological Surgery, MD Anderson Cancer Center, Houston, TX, USA.
  • Rose PS; Department of Orthopedic Oncology, MD Anderson Cancer Center, Houston, TX.
  • Clarke MJ; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Bird JE; Department of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
Global Spine J ; : 21925682241278323, 2024 Aug 21.
Article en En | MEDLINE | ID: mdl-39166967
ABSTRACT
STUDY

DESIGN:

Survey study.

OBJECTIVES:

The purpose of this study was to characterize the utility of 3D printed patient specific anatomic models for the planning of complex primary spine tumor surgeries.

METHODS:

A survey of individual members of an international study group of spinal oncology surgeons was performed. Participants were provided a clinical vignette, pathologic diagnosis, and pre-operative imaging for three primary spinal oncology cases. Study participants provided a free text surgical plan for resection and were then presented an associated 3D printed model for each case and asked to re-evaluate their surgical plan.

RESULTS:

Ten spinal oncology surgeons participated in the study, representing nine institutions across five countries. Four of the surgeons (40%) made significant changes to their surgical plan after reviewing the 3D models, including sacrifice of an additional nerve root to obtain negative margins, sparing an SI joint that was originally planned for inclusion in the en bloc resection, adjusting the location of osteotomy cuts, changes to the number of surgical stages and/or staging order, and preservation of neurology that was originally planned for sacrifice. The overall impression of the 3D models was positive, with 90% of the participants stating they found the 3D model useful in developing a surgical plan.

CONCLUSIONS:

Surgical planning for resection of primary spinal column tumors is challenging and time intensive. 3D printed patient specific surgical models may be an additional tool that can augment surgical planning and execution by improving the chance of accomplishing surgical resection goals and minimizing morbidity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Global Spine J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Global Spine J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido