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3D打印脊柱模型在复杂脊柱畸形手术中的作用：1例病例经验、技术要点及文献综述

The Role of 3D Printed Spine Model in Complex Spinal Deformity Surgery; an Experience With a Case, Technical Notes and Review of the Literature.

作者信息

Hanif Hamed, Safari Negin, Sharifi Reza, Ostadrahimi Nima, Ahmad Alaaeldin

机构信息

Neurosurgery Department Tehran University of Medical Sciences, Sina Hospital Tehran Iran.

Tehran University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2025 Aug 3;13(8):e70675. doi: 10.1002/ccr3.70675. eCollection 2025 Aug.

DOI:10.1002/ccr3.70675
PMID:40761672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12318831/
Abstract

Complex spinal deformity in adults, often from neglected congenital deformities, poses surgical challenges. Understanding the 3D anatomy is crucial. A 3D-printed spinal model aids pre-operative planning, intra-operative navigation, and education. It reduces surgery time, bleeding, and X-ray dose, while improving screw placement accuracy and navigation of intra-spinal pathologies.

摘要

成人复杂脊柱畸形通常源于被忽视的先天性畸形，给手术带来挑战。了解三维解剖结构至关重要。三维打印脊柱模型有助于术前规划、术中导航和教学。它可减少手术时间、出血量和X射线剂量，同时提高螺钉置入准确性和脊髓内病变的导航能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/4a8c9c9681f4/CCR3-13-e70675-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/6ca33e095268/CCR3-13-e70675-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/b3e1357a9a93/CCR3-13-e70675-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/4a8c9c9681f4/CCR3-13-e70675-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/6ca33e095268/CCR3-13-e70675-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/b3e1357a9a93/CCR3-13-e70675-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980c/12318831/4a8c9c9681f4/CCR3-13-e70675-g001.jpg

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本文引用的文献

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Recent advances of 3D-printing in spine surgery.3D打印技术在脊柱外科领域的最新进展。
Surg Neurol Int. 2024 Aug 23;15:297. doi: 10.25259/SNI_460_2024. eCollection 2024.
2
Accuracy of 3D printed spine models for pre-surgical planning of complex adolescent idiopathic scoliosis (AIS) in spinal surgeries: a case series.3D打印脊柱模型在复杂青少年特发性脊柱侧凸（AIS）脊柱手术术前规划中的准确性：病例系列研究
Ann 3D Print Med. 2023 Aug;11:None. doi: 10.1016/j.stlm.2023.100117.
3
Clinical Application of Personalized Digital Surgical Planning and Precise Execution for Severe and Complex Adult Spinal Deformity Correction Utilizing 3D Printing Techniques.
利用3D打印技术进行个性化数字外科规划及精确执行在重度和复杂成人脊柱畸形矫正中的临床应用
J Pers Med. 2023 Mar 30;13(4):602. doi: 10.3390/jpm13040602.
4
Application of 3D printed models in the surgical treatment of spinal deformity.3D打印模型在脊柱畸形外科治疗中的应用。
Am J Transl Res. 2022 Sep 15;14(9):6341-6348. eCollection 2022.
5
Virtual Scoliosis Surgery Using a 3D-Printed Model Based on Biplanar Radiographs.基于双平面X线片的3D打印模型的虚拟脊柱侧弯手术
Bioengineering (Basel). 2022 Sep 14;9(9):469. doi: 10.3390/bioengineering9090469.
6
The Efficacy of Single-Stage Correction by Posterior Approach for Neglected Congenital Scoliosis: Comparative Analysis According to the Age of Surgical Intervention.后路一期矫正治疗陈旧性先天性脊柱侧凸的疗效：基于手术干预年龄的对比分析
J Clin Med. 2022 Apr 19;11(9):2278. doi: 10.3390/jcm11092278.
7
3D printed templates improve the accuracy and safety of pedicle screw placement in the treatment of pediatric congenital scoliosis.3D 打印模板可提高儿童先天性脊柱侧凸治疗中椎弓根螺钉放置的准确性和安全性。
BMC Musculoskelet Disord. 2021 Dec 4;22(1):1014. doi: 10.1186/s12891-021-04892-4.
8
3D model-assisted instrumentation of the pediatric spine: a technical note.3D 模型辅助儿童脊柱器械置入：技术说明。
J Orthop Surg Res. 2021 Oct 12;16(1):586. doi: 10.1186/s13018-021-02743-5.
9
The Value of Three-Dimensional Printing Spine Model in Severe Spine Deformity Correction Surgery.三维打印脊柱模型在重度脊柱畸形矫正手术中的价值
Global Spine J. 2023 Apr;13(3):787-795. doi: 10.1177/21925682211008830. Epub 2021 May 11.
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