Ho Michelle, Ravanpay Ali, Bastawrous Sarah, Chorath Kevin, Wu Lei
Diagnostic Radiology, University of Washington, Seattle, USA.
Neurological Surgery, University of Washington, Seattle, USA.
Cureus. 2024 Dec 26;16(12):e76426. doi: 10.7759/cureus.76426. eCollection 2024 Dec.
Cervical foraminotomy is a procedure used to treat patients with radiculopathy. While the procedure can be performed using a minimally invasive technique, achieving complete visualization of relevant anatomy can be challenging. This study explores the use of patient-specific three-dimensional (3D) printed anatomical models, created from advanced medical imaging data, for preoperative planning and intraoperative guidance in cervical foraminotomy by comparing fluoroscopy time, operative time, estimated blood loss volume, and functional improvement.
We conducted a retrospective case-controlled study comparing patients who underwent cervical foraminotomy with the aid of a 3D model to those who received standard of care.
Our findings indicate a statistically significant reduction in fluoroscopy time for the 3D model group (21.8 seconds vs 49.0 seconds, p<0.05). Although functional outcomes for the 3D model group showed a trend towards significance (p=0.14), no significant differences were observed in operative time or estimated blood loss (p=0.25 and p=0.31, respectively).
These results suggest that patient-specific 3D models can enhance the understanding of complex anatomical structures and may improve surgical outcomes in cervical foraminotomy.
颈椎椎间孔切开术是一种用于治疗神经根病患者的手术。虽然该手术可以采用微创技术进行，但要完全可视化相关解剖结构可能具有挑战性。本研究通过比较透视时间、手术时间、估计失血量和功能改善情况，探讨利用从先进医学影像数据创建的患者特异性三维（3D）打印解剖模型，用于颈椎椎间孔切开术的术前规划和术中指导。
我们进行了一项回顾性病例对照研究，将借助3D模型接受颈椎椎间孔切开术的患者与接受标准治疗的患者进行比较。
我们的研究结果表明，3D模型组的透视时间在统计学上有显著减少（21.8秒对49.0秒，p<0.05）。虽然3D模型组的功能结果显示出有显著趋势（p=0.14），但在手术时间或估计失血量方面未观察到显著差异（分别为p=0.25和p=0.31）。
这些结果表明，患者特异性3D模型可以增强对复杂解剖结构的理解，并可能改善颈椎椎间孔切开术的手术效果。
