Role of Three-Dimensional Printing (3DP) in Spinal Deformity Correction
Keywords:
Three-dimensional printing, Spine surgery, Pedicle screw, Surgical planning, Patient-specific instrumentation, Spinal deformity ysAbstract
Three-dimensional printing (3DP) has emerged as a transformative technology in modern medicine, enabling the conversion of radiological imaging data into precise, patient-specific anatomical models. In spine surgery, 3DP has gained significant attention due to its ability to enhance preoperative planning, improve surgical accuracy, and facilitate the development of customized implants and instrumentation. With continuous advancements in printing techniques and biomaterials, 3DP is increasingly integrated into the management of complex spinal pathologies, including deformities, trauma, malignancies, and degenerative conditions...
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1. Sharma, A., Anand, S., & Bharti, P. S. (2024). 13 3D printing insight: techniques, application, and transformation. 3D Printing Technologies: Digital Manufacturing, Artificial Intelligence, Industry 4.0, 259.
2. Eshkalak, S. K., Ghomi, E. R., Dai, Y., Choudhury, D., & Ramakrishna, S. (2020). The role of three-dimensional printing in healthcare and medicine. Materials & Design, 194, 108940.
3. Rayna, T., & Striukova, L. (2016). From rapid prototyping to home fabrication: How 3D printing is changing business model innovation. Technological Forecasting and Social Change, 102, 214–224.
4. O’Brien, S., & Darwish, N. (2023). 3D visualisation of the spine. In Biomedical Visualisation: Volume 15‒Visualisation in Teaching of Biomedical and Clinical Subjects: Anatomy, Advanced Microscopy and Radiology (pp. 139–168). Springer.
5. Tong, Y., Kaplan, D. J., Spivak, J. M., & Bendo, J. A. (2020). Three-dimensional printing in spine surgery: a review of current applications. The Spine Journal, 20(6), 833–846.
6. Marro, A., Bandukwala, T., & Mak, W. (2016). Three-dimensional printing and medical imaging: a review of the methods and applications. Current Problems in Diagnostic Radiology, 45(1), 2–9.
7. Kabra, A., Mehta, N., & Garg, B. (2022). 3D printing in spine care: A review of current applications. Journal of Clinical Orthopaedics and Trauma, 35, 102044.
8. Hao, J., Nangunoori, R., Wu, Y. Y., Rajaraman, M., Cook, D., Yu, A., Cheng, B., & Shimada, K. (2018). Material characterization and selection for 3D-printed spine models. 3D Printing in Medicine, 4(1), 8.
9. Garg, B., Gupta, M., Singh, M., & Kalyanasundaram, D. (2019). Outcome and safety analysis of 3D-printed patient-specific pedicle screw jigs for complex spinal deformities: a comparative study. The Spine Journal, 19(1), 56–64.
10. Pijpker, P. A. J., Kraeima, J., Witjes, M. J. H., Oterdoom, D. L. M., Vergeer, R. A., Coppes, M. H., Groen, R. J. M., & Kuijlen, J. M. A. (2021). Accuracy of patient-specific 3D-printed drill guides for pedicle and lateral mass screw insertion: an analysis of 76 cervical and thoracic screw trajectories. Spine, 46(3), 160–168.
11. Zhu, M., Tan, J., Liu, L., Tian, J., Li, L., Luo, B., Zhou, C., & Lu, L. (2021). Construction of biomimetic artificial intervertebral disc scaffold via 3D printing and electrospinning. Materials Science and Engineering: C, 128, 112310.
12. Plantz, M. A., & Hsu, W. K. (2020). Recent research advances in biologic bone graft materials for spine surgery. Current Reviews in Musculoskeletal Medicine, 13(3), 318–325.
13. D’Urso, P. S., Askin, G., Earwaker, J. S., Merry, G. S., Thompson, R. G., Barker, T. M., & Effeney, D. J. (1999). Spinal biomodeling. Spine, 24(12), 1247–1251.
14. Stefan, P., Pfandler, M., Lazarovici, M., Weigl, M., Navab, N., Euler, E., Fürmetz, J., & Weidert, S. (2020). Three-dimensional–printed computed tomography–based bone models for spine surgery simulation. Simulation in Healthcare, 15(1), 61–66.
15. Parr, W. C. H., Burnard, J. L., Wilson, P. J., & Mobbs, R. J. (2019). 3D printed anatomical (bio) models in spine surgery: clinical benefits and value to health care providers. Journal of Spine Surgery, 5(4), 549.
16. Öztürk, A. M., Süer, O., Govsa, F., Özer, M. A., & Akçalı, Ö. (2022). Patient-specific three-dimensional printing spine model for surgical planning in AO spine type-C fracture posterior long-segment fixation. Acta Orthopaedica et Traumatologica Turcica, 56(2), 138.
17. Liawrungrueang, W., Sornsa-Ard, T., & Boonchieng, E. (2020). Bilateral pure facet joint dislocation in thoracolumbar junction (T11–T12) without facet fracture using a 3D digital printing model for surgical planning: a case report. Trauma Case Reports, 25, 100273.
18. Galvez, M., Asahi, T., Baar, A., Carcuro, G., Cuchacovich, N., Fuentes, J. A., Mardones, R., Montoya, C. E., Negrin, R., & Otayza, F. (2018). Use of three-dimensional printing in orthopaedic surgical planning. JAAOS Global Research & Reviews, 2(5), e071.
19. Pan, A., Ding, H., Hai, Y., Liu, Y., Hai, J. J., Yin, P., & Han, B. (2023). The value of three-dimensional printing spine model in severe spine deformity correction surgery. Global Spine Journal, 13(3), 787–795.
20. Liebsch, C., Aleinikov, V., Kerimbayev, T., Akshulakov, S., Kocak, T., Vogt, M., Jansen, J. U., & Wilke, H.-J. (2020). In vitro comparison of personalized 3D printed versus standard expandable titanium vertebral body replacement implants in the mid-thoracic spine using entire rib cage specimens. Clinical Biomechanics, 78, 105070.
21. Fogel, G., Martin, N., Lynch, K., Pelletier, M. H., Wills, D., Wang, T., Walsh, W. R., Williams, G. M., Malik, J., & Peng, Y. (2022). Subsidence and fusion performance of a 3D-printed porous interbody cage with stress-optimized body lattice and microporous endplates-a comprehensive mechanical and biological analysis. The Spine Journal, 22(6), 1028–1037.
22. Wallace, N., Schaffer, N. E., Aleem, I. S., & Patel, R. (2020). 3D-printed patient-specific spine implants: a systematic review. Clinical Spine Surgery, 33(10), 400–407.
23. Li, Y., Lin, J., Wang, Y., Luo, H., Wang, J., Lu, S., & Xu, Y. (2021). Comparative study of 3D printed navigation template-assisted atlantoaxial pedicle screws versus free-hand screws for type II odontoid fractures. European Spine Journal, 30(2), 498–506.
24. Azimi, P., Yazdanian, T., Benzel, E. C., Azimi, A., & Montazeri, A. (2021). 3D-printed navigation template in cervical spine fusion: a systematic review and meta-analysis. European Spine Journal, 30(2), 389–401.
25. Mobbs, R. J., Choy, W. J., Singh, T., Cassar, L., Davidoff, C., Harris, L., Phan, K., & Fiechter, M. (2019). Three-dimensional planning and patient-specific drill guides for repair of spondylolysis/L5 pars defect. World Neurosurgery, 132, 75–80.
26. Lin, Y., Cheung, J. P. Y., Chan, C. K., Wong, S. W. F., Cheung, K. M. C., Wong, M., ... & Wong, M. S. (2022). A randomized controlled trial to evaluate the clinical effectiveness of 3D-printed orthosis in the management of adolescent idiopathic scoliosis.
27. Thayaparan, G. K., Owbridge, M. G., Linden, M., Thompson, R. G., Lewis, P. M., & D’Urso, P. S. (2020). Measuring the performance of patient-specific solutions for minimally invasive transforaminal lumbar interbody fusion surgery. Journal of Clinical Neuroscience, 71, 43–50.
28. Ling, Q., He, E., Ouyang, H., Guo, J., Yin, Z., & Huang, W. (2018). Design of mulitlevel OLF approach (“V”-shaped decompressive laminoplasty) based on 3D printing technology. European Spine Journal, 27(Suppl 3), 323–329.
29. Yang, H.-S., & Park, J.-Y. (2020). 3D printer application for endoscope-assisted spine surgery instrument development: from prototype instruments to patient-specific 3D models. Yonsei Medical Journal, 61(1), 94–99.
30. Yang, M., Li, C., Li, Y., Zhao, Y., Wei, X., Zhang, G., Fan, J., Ni, H., Chen, Z., & Bai, Y. (2015). Application of 3D rapid prototyping technology in posterior corrective surgery for Lenke 1 adolescent idiopathic scoliosis patients. Medicine, 94(8), e582.
31. Garg, B., & Mehta, N. (2018). Current status of 3D printing in spine surgery. Journal of Clinical Orthopaedics and Trauma, 9(3), 218–225.
32. Wilcox, B., Mobbs, R. J., Wu, A.-M., & Phan, K. (2017). Systematic review of 3D printing in spinal surgery: the current state of play. Journal of Spine Surgery, 3(3), 433.
33. Mao, K., Wang, Y., Xiao, S., Liu, Z., Zhang, Y., Zhang, X., Wang, Z., Lu, N., Shourong, Z., & Xifeng, Z. (2010). Clinical application of computer-designed polystyrene models in complex severe spinal deformities: a pilot study. European Spine Journal, 19(5), 797–802.
34. Pijpker, P. A. J., Kuijlen, J. M. A., Kraeima, J., & Faber, C. (2018). Three-dimensional planning and use of individualized osteotomy-guiding templates for surgical correction of kyphoscoliosis: a technical case report. World Neurosurgery, 119, 113–117.
35. Izatt, M. T., Thorpe, P. L. P. J., Thompson, R. G., D’Urso, P. S., Adam, C. J., Earwaker, J. W. S., Labrom, R. D., & Askin, G. N. (2007). The use of physical biomodelling in complex spinal surgery. European Spine Journal, 16(9), 1507–1518.
36. Lopez, C. D., Boddapati, V., Lee, N. J., Dyrszka, M. D., Sardar, Z. M., Lehman, R. A., & Lenke, L. G. (2021). Three-dimensional printing for preoperative planning and pedicle screw placement in adult spinal deformity: a systematic review. Global Spine Journal, 11(6), 936–949.
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