• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

定制高位颈椎固定患者指南的研发。

Development of a Patient-specific Guide for High Cervical Spine Fixation.

作者信息

Nanni Felipe de Negreiros, Vialle Emiliano Neves, Foggiattob José Aguiomar, Silva Kayo Winiccius Samuel Neves E, Mello Neto Heraldo de Oliveira

机构信息

Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.

Núcleo de Prototipagem Ferramental, Departamento de Mecânica, Universidade Tecnológica Federal do Paraná, Curitiba, PR, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2019 Feb;54(1):20-25. doi: 10.1016/j.rbo.2017.09.011. Epub 2019 Mar 1.

DOI:10.1016/j.rbo.2017.09.011
PMID:31363238
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6424808/
Abstract

OBJECTIVE

High cervical spine fixation represents a challenge for spine surgeons due to the complex anatomy and the risks of vascular and medullar injury. The recent advances in 3-D printing have unfolded a whole new range of options for these surgeons.

METHODS

In the present study, a guide for the placement of the lateral mass screw in the C1 vertebra was developed using 3-D printing. Eight real-size models of the high cervical spine and their respective screw guides were built using computed tomography (CT) scan images. The guidewires were inserted with the help of the printed guides and then the models were analyzed with the help of CT scan images.

RESULTS

All of the guidewires in the present study obtained a safe placement in the models, avoiding the superior and inferior articular surfaces, the vertebral foramen, and the vertebral artery.

CONCLUSION

The present study demonstrated the efficiency of the guide, a reliable tool for aiding the insertion of guidewires for screws in lateral masses of the C1.

摘要

目的

由于解剖结构复杂以及存在血管和脊髓损伤风险，高位颈椎固定对脊柱外科医生而言是一项挑战。3D打印技术的最新进展为这些外科医生带来了全新的选择。

方法

在本研究中，利用3D打印技术制作了用于C1椎体侧块螺钉置入的导向器。使用计算机断层扫描（CT）图像构建了8个真实尺寸的高位颈椎模型及其各自的螺钉导向器。借助打印的导向器插入导丝，然后借助CT图像对模型进行分析。

结果

本研究中的所有导丝在模型中均实现了安全置入，避开了上下关节面、椎孔和椎动脉。

结论

本研究证明了该导向器的有效性，它是辅助在C1侧块中插入螺钉导丝的可靠工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/642374d68161/10-1016-j-rbo-2017-09-011-i170284pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/1e3a9f568a63/10-1016-j-rbo-2017-09-011-i170284en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/72d1dc2b6f52/10-1016-j-rbo-2017-09-011-i170284en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/c341ca545207/10-1016-j-rbo-2017-09-011-i170284en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/4eaab6fc70c2/10-1016-j-rbo-2017-09-011-i170284en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/4ad59a9c71af/10-1016-j-rbo-2017-09-011-i170284en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/5bd263d560fd/10-1016-j-rbo-2017-09-011-i170284pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/d35e9053d763/10-1016-j-rbo-2017-09-011-i170284pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/e47a99bbc6d7/10-1016-j-rbo-2017-09-011-i170284pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/4eba76800269/10-1016-j-rbo-2017-09-011-i170284pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/642374d68161/10-1016-j-rbo-2017-09-011-i170284pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/1e3a9f568a63/10-1016-j-rbo-2017-09-011-i170284en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/72d1dc2b6f52/10-1016-j-rbo-2017-09-011-i170284en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/c341ca545207/10-1016-j-rbo-2017-09-011-i170284en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/4eaab6fc70c2/10-1016-j-rbo-2017-09-011-i170284en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/4ad59a9c71af/10-1016-j-rbo-2017-09-011-i170284en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/5bd263d560fd/10-1016-j-rbo-2017-09-011-i170284pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/d35e9053d763/10-1016-j-rbo-2017-09-011-i170284pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/e47a99bbc6d7/10-1016-j-rbo-2017-09-011-i170284pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/4eba76800269/10-1016-j-rbo-2017-09-011-i170284pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/6424808/642374d68161/10-1016-j-rbo-2017-09-011-i170284pt-5.jpg

相似文献

1
Development of a Patient-specific Guide for High Cervical Spine Fixation.定制高位颈椎固定患者指南的研发。
Rev Bras Ortop (Sao Paulo). 2019 Feb;54(1):20-25. doi: 10.1016/j.rbo.2017.09.011. Epub 2019 Mar 1.
2
Anatomic determination of optimal entry point and direction for C1 lateral mass screw placement.C1侧块螺钉置入最佳进针点和方向的解剖学确定
J Spinal Disord Tech. 2009 Jun;22(4):233-9. doi: 10.1097/BSD.0b013e31817ff95a.
3
Development of a new technique for pedicle screw and Magerl screw insertion using a 3-dimensional image guide.利用三维图像引导开发新型椎弓根螺钉和 Magerl 螺钉置入技术。
Spine (Phila Pa 1976). 2012 Nov 1;37(23):1983-8. doi: 10.1097/BRS.0b013e31825ab547.
4
Paravertebral foramen screw fixation for posterior cervical spine fusion: biomechanical study and description of a novel technique.颈椎后路融合术中椎旁孔螺钉固定：生物力学研究及一种新技术的描述
J Neurosurg Spine. 2017 Oct;27(4):415-420. doi: 10.3171/2016.12.SPINE16803. Epub 2017 May 12.
5
Lateral mass screw-rod fixation of the cervical spine: a prospective clinical series with 1-year follow-up.颈椎侧块螺钉-棒固定术：一项为期1年随访的前瞻性临床研究系列
Spine J. 2003 Nov-Dec;3(6):489-95.
6
Creation of 3-Dimensional Life Size: Patient-Specific C1 Fracture Models for Screw Fixation.创建三维实物大小：用于螺钉固定的患者特异性C1骨折模型
World Neurosurg. 2018 Jun;114:e173-e181. doi: 10.1016/j.wneu.2018.02.131. Epub 2018 Mar 3.
7
The accuracy and the safety of individualized 3D printing screws insertion templates for cervical screw insertion.个体化 3D 打印颈椎螺钉置入模板置钉的准确性和安全性。
Comput Assist Surg (Abingdon). 2016 Dec;21(1):143-149. doi: 10.1080/24699322.2016.1236146.
8
Anatomic considerations of anterior transarticular screw fixation for atlantoaxial instability.寰枢椎不稳前路经关节螺钉固定的解剖学考量
Spine (Phila Pa 1976). 1998 Jun 1;23(11):1229-35; discussion 1236. doi: 10.1097/00007632-199806010-00011.
9
Comparative Analysis of Surgical Outcomes of C1-2 Fusion Spine Surgery between Intraoperative Computed Tomography Image Based Navigation-Guided Operation and Fluoroscopy-Guided Operation.基于术中计算机断层扫描图像导航引导手术与透视引导手术的C1-2融合脊柱手术手术结果的比较分析
J Korean Neurosurg Soc. 2020 Mar;63(2):237-247. doi: 10.3340/jkns.2019.0172. Epub 2020 Feb 27.
10
A novel patient-specific navigational template for cervical pedicle screw placement.一种新型的颈椎椎弓根螺钉置钉患者特异性导航模板。
Spine (Phila Pa 1976). 2009 Dec 15;34(26):E959-66. doi: 10.1097/BRS.0b013e3181c09985.

引用本文的文献

1
Assessment of the accuracy of patient-specific drilling guides for cervical (C5-C6) and lumbar (L4-L5) vertebrae in cats.猫颈椎（C5-C6）和腰椎（L4-L5）患者特异性钻孔导向器准确性的评估。
Vet Med (Praha). 2025 Jan 20;70(1):11-19. doi: 10.17221/73/2024-VETMED. eCollection 2025 Jan.

本文引用的文献

1
Reconstruction of the Upper Cervical Spine Using a Personalized 3D-Printed Vertebral Body in an Adolescent With Ewing Sarcoma.在一名患有尤因肉瘤的青少年中使用个性化3D打印椎体重建上颈椎。
Spine (Phila Pa 1976). 2016 Jan;41(1):E50-4. doi: 10.1097/BRS.0000000000001179.
2
The accuracy of a method for printing three-dimensional spinal models.一种用于打印三维脊柱模型的方法的准确性。
PLoS One. 2015 Apr 27;10(4):e0124291. doi: 10.1371/journal.pone.0124291. eCollection 2015.
3
Application of 3D rapid prototyping technology in posterior corrective surgery for Lenke 1 adolescent idiopathic scoliosis patients.
3D快速成型技术在Lenke 1型青少年特发性脊柱侧凸患者后路矫正手术中的应用
Medicine (Baltimore). 2015 Feb;94(8):e582. doi: 10.1097/MD.0000000000000582.
4
The radiological feature of anterior occiput-to-axis screw fixation as it guides the screw trajectory on 3D printed models: a feasibility study on 3D images and 3D printed models.枕骨前部至枢椎螺钉固定在3D打印模型上引导螺钉轨迹的放射学特征：一项关于3D图像和3D打印模型的可行性研究
Medicine (Baltimore). 2014 Dec;93(28):e242. doi: 10.1097/MD.0000000000000242.
5
Multistep pedicle screw insertion procedure with patient-specific lamina fit-and-lock templates for the thoracic spine: clinical article.胸椎患者特异性椎板贴合锁定模板的多步椎弓根螺钉置入术：临床文章。
J Neurosurg Spine. 2013 Aug;19(2):185-90. doi: 10.3171/2013.4.SPINE121059. Epub 2013 May 24.
6
Construction and accuracy assessment of patient-specific biocompatible drill template for cervical anterior transpedicular screw (ATPS) insertion: an in vitro study.用于颈椎经皮椎弓根螺钉（ATPS）置入的个体化生物相容性钻模板的构建和精度评估：一项体外研究。
PLoS One. 2013;8(1):e53580. doi: 10.1371/journal.pone.0053580. Epub 2013 Jan 10.
7
Fabrication of a biomimetic elastic intervertebral disk scaffold using additive manufacturing.采用增材制造技术制备仿生弹性椎间盘中空支架
Biofabrication. 2011 Mar;3(1):015004. doi: 10.1088/1758-5082/3/1/015004. Epub 2011 Feb 22.
8
Harms C1-C2 instrumentation technique: anatomo-surgical guide.颈椎 C1-C2 器械固定技术：解剖-手术入路指南。
Spine (Phila Pa 1976). 2011 May 20;36(12):945-50. doi: 10.1097/BRS.0b013e3181e887df.
9
Relationship of the internal carotid artery to the anterior aspect of the C1 vertebra: implications for C1-C2 transarticular and C1 lateral mass fixation.颈内动脉与C1椎体前侧的关系：对C1-C2经关节突及C1侧块固定的意义
Spine (Phila Pa 1976). 2008 Mar 15;33(6):635-9. doi: 10.1097/BRS.0b013e318166e083.
10
Application of full-scale three-dimensional models in patients with rheumatoid cervical spine.全尺寸三维模型在类风湿性颈椎患者中的应用。
Eur Spine J. 2008 May;17(5):644-9. doi: 10.1007/s00586-008-0611-3. Epub 2008 Feb 5.