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脊柱外科中的三维打印

Three-Dimensional Printing in Spinal Surgery.

作者信息

Araújo Júnior Francisco Alves de, Ribas Filho Jurandir M, Malafaia Osvaldo, Arantes Aluízio Augusto, Ceccato Guilherme Henrique Weiler, Santos Neto Pedro Helo Dos

机构信息

Postgraduate Department, Evangelical Mackenzie College of Paraná, Curitiba, Brazil; Neurosurgery Department, Mackenzie Evangelical University Hospital, Curitiba, Brazil.

Postgraduate Department, Evangelical Mackenzie College of Paraná, Curitiba, Brazil.

出版信息

World Neurosurg. 2024 Dec;192:130-135. doi: 10.1016/j.wneu.2024.09.056. Epub 2024 Sep 14.

DOI:10.1016/j.wneu.2024.09.056
PMID:39278538
Abstract

OBJECTIVES

Carry out an update and systematic review on the use of three-dimensional printing (3DP) in spinal surgery.

METHODS

A systematic literature review was performed using the PubMed database in March 2024. "Spine surgery" and "3DP" were the search terms. Only articles published from 2014 to 2024 and clinical trails were selected for inclusion. Non-English or Spanish articles were excluded. This review complied with the Preferred Reported Items for Systematic Reviews and Meta-Analysis guideline.

RESULTS

Ten articles were included after screening and evaluation. The majority of the studied diseases were deformities (n = 3) and traumas (n = 3), followed by degenerative diseases (n = 2). Two articles dealt with surgical techniques. Six articles studied the creation of personalized guides for inserting screws; 2 were about education, one related to educating patients about their disease and the other to teaching residents surgical techniques; 2 other articles addressed surgical planning, where biomodels were printed to study anatomy and surgical programming.

CONCLUSIONS

3DP is one of the most-used tools in spine surgeries, but there are still randomized articles available on the subject. Using this technology seems to have a positive effect on patient education regarding their disease and surgical planning.

摘要

目的

对三维打印(3DP)在脊柱外科手术中的应用进行更新和系统评价。

方法

2024年3月使用PubMed数据库进行系统文献综述。检索词为“脊柱外科手术”和“3DP”。仅纳入2014年至2024年发表的文章和临床试验。排除非英文或西班牙文文章。本综述符合系统评价和Meta分析的首选报告项目指南。

结果

经过筛选和评估,纳入了10篇文章。大多数研究疾病为畸形(n = 3)和创伤(n = 3),其次是退行性疾病(n = 2)。两篇文章涉及手术技术。六篇文章研究了用于螺钉置入的个性化导板的制作;两篇关于教育,一篇涉及向患者讲解其疾病,另一篇涉及向住院医师传授手术技术;另外两篇文章涉及手术规划,其中打印生物模型以研究解剖结构和手术方案。

结论

3DP是脊柱外科手术中最常用的工具之一,但关于该主题仍有随机对照文章。使用这项技术似乎对患者疾病教育和手术规划有积极影响。

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