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三维打印在脊柱外科中的当前应用。

Current applications of 3-dimensional printing in spine surgery.

作者信息

Kabra Dr Apoorva, Garg Dr Bhavuk

机构信息

Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Orthop. 2023 May 19;41:28-32. doi: 10.1016/j.jor.2023.05.009. eCollection 2023 Jul.

Abstract

BACKGROUND

Three-dimensional printing (3D Printing) has emerged as a new technology in the early part of the 21st century, with promising applications in various industries, including the medical field. Spine care is a complex sub-specialty that has shown rapid inculcation of 3D printing. This technology is being used in pre-operative planning, patient education, and simulations, as well as intra-operatively for assistance in the form of patient specific jigs for pedicle screw placement and as implantable material in the form of vertebral body substitutes and patient-specific interbody cages.

APPLICATIONS

3DP in spine care has broadened the scope of minimally invasive and spine deformity surgeries. It has also enabled the production of patient-specific implants for complex spinal malignancies and infections. The technology has been embraced by various government organizations, including the US-FDA, which has drafted guidelines for the medical use of 3DP.

DRAWBACKS

Despite these promising advances and results, there still exist some significant drawbacks to the universal application of 3D printing technology. One of the main limitations is the dearth of long-term data describing the advantages and drawbacks in its clinical use. The widespread adoption of 3D models in small-scale healthcare setups is impeded by significant factors such as the high cost associated with their production, the requirement for specialized human resources, and specific instrumentation.

CONCLUSION

As technological understanding increases, newer applications and innovations in spine care are expected to unravel in the near future. With the expected surge in 3DP applications in spine care, it is imperative for all spine surgeons to possess a rudimentary understanding of this technology. Although there are still limitations to its universal use, 3DP in spine care has shown promising results and has the potential to revolutionize the field of spine surgery.

摘要

背景

三维打印(3D打印)在21世纪初作为一项新技术出现,在包括医疗领域在内的各个行业都有广阔的应用前景。脊柱护理是一个复杂的亚专业领域,3D打印已迅速融入其中。这项技术被用于术前规划、患者教育和模拟,以及术中以患者特异性椎弓根螺钉置入夹具的形式提供辅助,并以椎体替代物和患者特异性椎间融合器的形式作为可植入材料。

应用

脊柱护理中的3D打印拓宽了微创和脊柱畸形手术的范围。它还能够生产用于复杂脊柱恶性肿瘤和感染的患者特异性植入物。包括美国食品药品监督管理局(US-FDA)在内的各种政府组织都接受了这项技术,该机构已起草了3D打印医疗用途的指南。

缺点

尽管取得了这些令人鼓舞的进展和成果,但3D打印技术的普遍应用仍然存在一些重大缺点。主要限制之一是缺乏描述其临床使用优缺点的长期数据。3D模型在小规模医疗保健机构中的广泛应用受到诸多重大因素的阻碍,如生产相关的高成本、对专业人力资源的需求以及特定仪器设备。

结论

随着对技术的理解不断加深,预计在不久的将来脊柱护理领域会出现更新的应用和创新。随着脊柱护理中3D打印应用的预期激增,所有脊柱外科医生都必须对这项技术有基本的了解。尽管其普遍应用仍存在局限性,但脊柱护理中的3D打印已显示出令人鼓舞的结果,并有潜力彻底改变脊柱外科领域。

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本文引用的文献

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3D printing in spine care: A review of current applications.脊柱护理中的3D打印:当前应用综述
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