Accuracy of Patient-Specific 3D-Printed Drill Guides for Pedicle and Lateral Mass Screw Insertion: An Analysis of 76 Cervical and Thoracic Screw Trajectories.

Abstract:

STUDY DESIGN:Single-center retrospective case series. OBJECTIVE:The purpose of this study was to assess the safety and accuracy of three-dimensional (3D)-printed individualized drill guides for pedicle and lateral mass screw insertion in the cervical and upper-thoracic region, by comparing the preoperative 3D surgical plan with the postoperative results. SUMMARY OF BACKGROUND DATA:Posterior spinal fusion surgery can provide rigid intervertebral fixation but screw misplacement involves a high risk of neurovascular injury. However, modern spine surgeons now have tools such as virtual surgical planning and 3D-printed drill guides to facilitate spinal screw insertion. METHODS:A total of 15 patients who underwent posterior spinal fusion surgery involving patient-specific 3D-printed drill guides were included in this study. After segmentation of bone and screws, the postoperative models were superimposed onto the preoperative surgical plan. The accuracy of the realized screw trajectories was quantified by measuring the entry point and angular deviation. RESULTS:The 3D deviation analysis showed that the entry point and angular deviation over all 76 screw trajectories were 1.40 ± 0.81 mm and 6.70 ± 3.77°, respectively. Angular deviation was significantly higher in the sagittal plane than in the axial plane (P = 0.02). All screw positions were classified as "safe" (100%), showing no neurovascular injury, facet joint violation, or violation of the pedicle wall. CONCLUSIONS:3D virtual planning and 3D-printed patient-specific drill guides appear to be safe and accurate for pedicle and lateral mass screw insertion in the cervical and upper-thoracic spine. The quantitative 3D deviation analyses confirmed that screw positions were accurate with respect to the 3D-surgical plan.Level of Evidence: 4.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Pijpker PAJ,Kraeima J,Witjes MJH,Oterdoom DLM,Vergeer RA,Coppes MH,Groen RJM,Kuijlen JMA

doi

10.1097/BRS.0000000000003747

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

160-168

issue

3

eissn

0362-2436

issn

1528-1159

pii

00007632-202102010-00007

journal_volume

46

pub_type

杂志文章

相关文献

SPINE文献大全
  • The influence of distraction force on the intradiscal pressure gradient in the bridged lumbar spine: a biomechanical investigation using a calf model.

    abstract:STUDY DESIGN:A biomechanical calf cadaver study. OBJECTIVE:The purpose of this study was to determine the intradiscal pressure gradient of bridged healthy intervertebral segments in correlation with intraoperative distraction force. SUMMARY OF BACKGROUND DATA:Bisegmental dorsal stabilization and anatomic reduction is...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000213

    authors: Spiegl U,Pätzold R,Glasmacher S,Stephan D,Josten C,Bühren V,Gonschorek O,Augat P

    更新日期:2014-04-01 00:00:00

  • Is occupational low back pain on the rise?

    abstract:STUDY DESIGN:A retrospective analysis of back pain claim data from two sources, a workers' compensation provider and Washington State Department of Labor and Industries. The Workers' Compensation Provider claim data were examined over a 9-year period, 1987-1995, and the Washington claim data were examined over a 5-year...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199904010-00015

    authors: Murphy PL,Volinn E

    更新日期:1999-04-01 00:00:00

  • A biomechanical definition of spinal segmental instability taking personal and disc level differences into account.

    abstract::The biomechanical definition of spinal segmental instability has not been clarified sufficiently, because of the great personal and level differences in intervertebral disc deformation. This article proposes a new method of judging spinal segmental instability regardless of these differences, using lateral functional ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199311000-00027

    authors: Ito M,Tadano S,Kaneda K

    更新日期:1993-11-01 00:00:00

  • Postoperative Paralysis From Thoracic Ossification of Posterior Longitudinal Ligament Surgery Risk Factor of Neurologic Injury: Nationwide Multiinstitution Survey.

    abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:The purpose of this study was to examine the factors of postoperative paralysis in patients who have undergone thoracic ossification of posterior longitudinal ligament (OPLL) surgery. SUMMARY OF BACKGROUND DATA:A higher percentage of thoracic OPLL patients expe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001585

    authors: Ito Z,Matsuyama Y,Ando M,Kawabata S,Kanchiku T,Kida K,Fujiwara Y,Yamada K,Yamamoto N,Kobayashi S,Saito T,Wada K,Tadokoro N,Takahashi M,Satomi K,Shinomiya K,Tani T

    更新日期:2016-10-01 00:00:00

  • Intermittent distracting rod for correction of high neurologic risk congenital scoliosis.

    abstract:STUDY DESIGN:Report of three cases of severe congenital scoliosis corrected by a new device. OBJECTIVES:To show a new, safe alternative for treatment to achieve and maintain correction of the most severe spinal deformity. SUMMARY OF BACKGROUND DATA:Because of neurologic risk, severe congenital scoliosis is usually no...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199708150-00022

    authors: Grass PJ,Soto AV,Araya HP

    更新日期:1997-08-15 00:00:00

  • The role of the sternocleidomastoid muscle flap for esophageal fistula repair in anterior cervical spine surgery.

    abstract:STUDY DESIGN:A retrospective study was undertaken which evaluated the medical records and imaging studies of a subset of patients managed by the spine service at Jackson Memorial Hospital who were diagnosed with an esophageal perforation in the setting of spinal surgery. OBJECTIVE:To assess the safety and efficacy of ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000182309.97403.ca

    authors: Navarro R,Javahery R,Eismont F,Arnold DJ,Bhatia NN,Vanni S,Levi AD

    更新日期:2005-10-15 00:00:00

  • Predicting health-utility scores from the Cervical Spine Outcomes Questionnaire in a multicenter nationwide study of anterior cervical spine surgery.

    abstract:STUDY DESIGN:Cross-sectional analysis of the Cervical Spine Research Society Outcomes Study, a longitudinal multicenter cohort study. OBJECTIVE:To provide a statistical model for estimating health utility from the Cervical Spine Outcomes Questionnaire (CSOQ) domain scores. SUMMARY OF BACKGROUND DATA:There is consensu...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e318202a403

    authors: Skolasky RL,Carreon LY,Anderson PA,Albert TJ,Riley LH 3rd

    更新日期:2011-12-01 00:00:00

  • Differences in the work-up and treatment of conditions associated with low back pain by patient gender and ethnic background.

    abstract:STUDY DESIGN:Retrospective review comparing physician workup of degenerative lumbosacral pathologies between different genders and ethnic groups. OBJECTIVES:To investigate whether patient ethnicity and gender influence the workup and treatment of degenerative spinal pathologies. SUMMARY OF BACKGROUND DATA:Data from n...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000152115.79236.6e

    authors: Taylor BA,Casas-Ganem J,Vaccaro AR,Hilibrand AS,Hanscom BS,Albert TJ

    更新日期:2005-02-01 00:00:00

  • Predictors of Vertebral Artery Injury in Isolated C2 Fractures Based on Fracture Morphology Using CT Angiography.

    abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:To determine C2 fracture patterns associated with vertebral artery injury (VAI) as assessed by computed tomography angiography. SUMMARY OF BACKGROUND DATA:The incidence of C2 fracture hospitalizations has increased significantly in the last decade. The vertebral...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000893

    authors: Durand D,Wu X,Kalra VB,Abbed KM,Malhotra A

    更新日期:2015-06-15 00:00:00

  • A biomechanical study of regional endplate strength and cage morphology as it relates to structural interbody support.

    abstract:STUDY DESIGN:An in vitro biomechanical investigation to quantify the endplates resistance to compressive loads, in the thoracic and lumbar spine. Comparisons were made to determine the regional strength of the endplate, the optimal size and geometry of interbody support, and the effects of endplate removal on structura...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000143623.18098.e5

    authors: Lowe TG,Hashim S,Wilson LA,O'Brien MF,Smith DA,Diekmann MJ,Trommeter J

    更新日期:2004-11-01 00:00:00

  • Multifidus Muscle Changes After Back Injury Are Characterized by Structural Remodeling of Muscle, Adipose and Connective Tissue, but Not Muscle Atrophy: Molecular and Morphological Evidence.

    abstract:STUDY DESIGN:Longitudinal case-controlled animal study. OBJECTIVE:To investigate putative cellular mechanisms to explain structural changes in muscle and adipose and connective tissues of the back muscles after intervertebral disc (IVD) injury. SUMMARY OF BACKGROUND DATA:Structural back muscle changes are ubiquitous ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000972

    authors: Hodges PW,James G,Blomster L,Hall L,Schmid A,Shu C,Little C,Melrose J

    更新日期:2015-07-15 00:00:00

  • Clinical and radiographic evaluation of disc excision for lumbar disc herniation with and without posterolateral fusion.

    abstract:STUDY DESIGN:A prospective study evaluating the clinical and radiographic results in 95 patients with lumbar disc herniation. OBJECTIVES:To evaluate the results of disc excision, with and without posterolateral fusion. SUMMARY OF BACKGROUND DATA:The effect of posterolateral fusion on the outcomes and radiologic chang...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200002150-00010

    authors: Takeshima T,Kambara K,Miyata S,Ueda Y,Tamai S

    更新日期:2000-02-15 00:00:00

  • Developing a valid and reliable measure of health outcome for patients with low back pain.

    abstract:OBJECTIVE:The authors developed and validated a measure of health outcome for patients with low back pain. RESULTS:A questionnaire was developed incorporating the type of questions asked when taking a clinical history. After testing on a sample of 568 patients, three questions were discarded from the questionnaire. Th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199409000-00004

    authors: Ruta DA,Garratt AM,Wardlaw D,Russell IT

    更新日期:1994-09-01 00:00:00

  • Surgical revision rates of hooks versus hybrid versus screws versus combined anteroposterior spinal fusion for adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Multi-institution retrospective review. OBJECTIVE:To determine the surgical revision rates of hook, hybrid, anteroposterior, and total pedicle screw constructs for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Much debate continues on the safety, efficacy, and cost of thoracic pedicle...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e31814b1ba6

    authors: Kuklo TR,Potter BK,Lenke LG,Polly DW Jr,Sides B,Bridwell KH

    更新日期:2007-09-15 00:00:00

  • Do PROMIS Physical Function, Pain Interference, and Depression Correlate to the Oswestry Disability Index and Neck Disability Index in Spine Trauma Patients?

    abstract:STUDY DESIGN:Correlational study. OBJECTIVE:In spine trauma patients, we aimed to assess the correlation of patient-reported outcome measurement information system (PROMIS) physical function (PF), pain interference (PI), and Depression scores with Oswestry Disability Index (ODI) and Neck Disability Index (NDI) ODI/NDI...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003376

    authors: Bernstein DN,Greenstein AS,D'Amore T,Mesfin A

    更新日期:2020-06-01 00:00:00

  • Management of symptomatic lumbar pseudarthrosis with anteroposterior fusion. A functional and radiographic outcome study.

    abstract:STUDY DESIGN:An independent retrospective review of 37 patients undergoing 39 anteroposterior lumbar fusions for lumbar pseudarthrosis repair between 1984 and 1990. OBJECTIVES:To evaluate radiographically and functionally the results of the combined anteroposterior fusion for the management of symptomatic lumbar pseud...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200001010-00021

    authors: Albert TJ,Pinto M,Denis F

    更新日期:2000-01-01 00:00:00

  • Repeat use of human recombinant bone morphogenetic protein-2 for second level lumbar arthrodesis.

    abstract:STUDY DESIGN:Prospective randomized controlled animal model. OBJECTIVE:The purpose of this study is to determine whether the readministration of human recombinant bone morphogenetic protein-2 (rhBMP-2) induces an immune response and inhibits successful fusion in repeat posterolateral spinal surgery. SUMMARY OF BACKGR...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181cdd396

    authors: Singh K,Dumonski M,Stanley T,Ponnappan R,Phillips FM

    更新日期:2011-02-01 00:00:00

  • Fat embolism and acute hypotension during vertebroplasty: an experimental study in sheep.

    abstract:STUDY DESIGN:An experimental study of cardiovascular complications that arise during vertebroplasty was conducted. OBJECTIVE:To investigate the sequential occurrence of fat embolism and hypotension during vertebroplasty. SUMMARY OF BACKGROUND DATA:Vertebroplasty, the augmentation of vertebrae with polymethylmethacryl...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200203010-00005

    authors: Aebli N,Krebs J,Davis G,Walton M,Williams MJ,Theis JC

    更新日期:2002-03-01 00:00:00

  • Minimal clinically important change of the Neck Disability Index and the Numerical Rating Scale for patients with neck pain.

    abstract:STUDY DESIGN:Prospective, single-cohort study. OBJECTIVE:To assess the minimal clinically important change (MCIC) on the Neck Disability Index (NDI) and the Numerical Rating Scale (NRS) for pain in patients with neck pain. SUMMARY OF BACKGROUND DATA:Both measurement instruments are frequently used in research and cli...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815cf75b

    authors: Pool JJ,Ostelo RW,Hoving JL,Bouter LM,de Vet HC

    更新日期:2007-12-15 00:00:00

  • Efficacy of hemivertebra resection for congenital scoliosis: a multicenter retrospective comparison of three surgical techniques.

    abstract:STUDY DESIGN:Multicenter, retrospective study. OBJECTIVE:To compare the outcomes of three surgical treatments for congenital spinal deformity due to a hemivertebra. SUMMARY OF BACKGROUND DATA:Congenital anomalies of the spine can cause significant and progressive scoliosis and kyphosis. Their management may be challe...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e318233f4bb

    authors: Yaszay B,O'Brien M,Shufflebarger HL,Betz RR,Lonner B,Shah SA,Boachie-Adjei O,Crawford A,Letko L,Harms J,Gupta MC,Sponseller PD,Abel MF,Flynn J,Macagno A,Newton PO

    更新日期:2011-11-15 00:00:00

  • Distribution of the basic fibroblast growth factor and its receptor gene expression in normal and degenerated rat intervertebral discs.

    abstract:STUDY DESIGN:Using a rat spondylosis model, the distributions of cells expressing the basic fibroblast growth factor and its receptor were investigated in normal and degenerated intervertebral discs. Cell-proliferating activity in degenerated discs was also assessed. OBJECTIVES:This study was conducted to determine wh...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199509150-00002

    authors: Nagano T,Yonenobu K,Miyamoto S,Tohyama M,Ono K

    更新日期:1995-09-15 00:00:00

  • Lower preoperative Hounsfield unit measurements are associated with adjacent segment fracture after spinal fusion.

    abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:To determine the association of Hounsfield unit (HU) measurements with adjacent segment fractures after spinal fusion. SUMMARY OF BACKGROUND DATA:Adjacent segment fracture is a potentially devastating complication after spinal fusion surgery in osteoporotic pat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31826ff084

    authors: Meredith DS,Schreiber JJ,Taher F,Cammisa FP Jr,Girardi FP

    更新日期:2013-03-01 00:00:00

  • Outcome analysis of chance fractures of the skeletally immature spine.

    abstract:STUDY DESIGN:Observational. OBJECTIVE:The authors present a detailed description of 25 skeletally immature patients with Chance fractures with a mean follow-up of 6.4 years. SUMMARY OF BACKGROUND DATA:Since the legislation mandating seat belt usage in Canada was first introduced, the fatality rate of automobile colli...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815a5986

    authors: Mulpuri K,Jawadi A,Perdios A,Choit RL,Tredwell SJ,Reilly CW

    更新日期:2007-11-15 00:00:00

  • Biomechanical effects of laminoplasty versus laminectomy: stenosis and stability.

    abstract:STUDY DESIGN:In vitro human cadaveric study simultaneously quantifying sagittal plane flexibility and spinal canal stenosis. OBJECTIVE:To compare biomechanical stability and the change in cross-sectional area during flexion and extension after laminectomy and open-door laminoplasty. SUMMARY OF BACKGROUND DATA:Spinal ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181aa0214

    authors: Subramaniam V,Chamberlain RH,Theodore N,Baek S,Safavi-Abbasi S,Senoğlu M,Sonntag VK,Crawford NR

    更新日期:2009-07-15 00:00:00

  • Chronic cervical pain: radiculopathy or brachialgia. Noninterventional treatment.

    abstract::Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199210001-00004

    authors: Rosomoff HL,Fishbain D,Rosomoff RS

    更新日期:1992-10-01 00:00:00

  • Small intestinal submucosa as a potential bioscaffold for intervertebral disc regeneration.

    abstract:STUDY DESIGN:To evaluate the capacity of porcine small intestine submucosa to support the in vitro proliferation of human disc cells and the synthesis of extracellular matrix that could restore the biochemical properties of the disc. OBJECTIVE:To evaluate if porcine small intestine submucosa is a potential bioactive s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000238684.04792.eb

    authors: Le Visage C,Yang SH,Kadakia L,Sieber AN,Kostuik JP,Leong KW

    更新日期:2006-10-01 00:00:00

  • Vertebral rotatory subluxation in degenerative scoliosis: facet joint tropism is related.

    abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To identify facet tropism as one of the possible risk factors leading to vertebral rotatory subluxation (VRS). SUMMARY OF BACKGROUND DATA:VRS has been considered as one of the prognostic factors for degenerative scoliosis. Although several risk factors of VRS, including...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000494

    authors: Bao H,Zhu F,Liu Z,Bentley M,Mao S,Zhu Z,Ding Y,Qiu Y

    更新日期:2014-12-15 00:00:00

  • Rosai-Dorman disease causing cervical myelopathy.

    abstract:STUDY DESIGN:A case report of a rare disease entity and review of the literature. OBJECTIVES:To illustrate the occurrence of an unusual disease affecting the spine and spinal canal. SUMMARY OF BACKGROUND DATA:Rosai-Dorman disease is considered an idiopathic benign lymphoproliferative disease that typically occurs in ...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-200006010-00020

    authors: Hollowell JP,Wolfla CE,Shah NC,Mark LP,Whittaker MH

    更新日期:2000-06-01 00:00:00

  • Thoracic and lumbar fractures associated with femoral shaft fractures in the multiple trauma patient. Occult presentations and implications for femoral fracture stabilization.

    abstract::Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199403000-00011

    authors: Rupp RE,Ebraheim NA,Chrissos MG,Jackson WT

    更新日期:1994-03-01 00:00:00

  • Use of vascularized fibular grafts as a salvage procedure for previously failed spinal arthrodesis.

    abstract:STUDY DESIGN:A case series of spinal arthrodesis performed with vascularized fibular grafts is presented. OBJECTIVES:The use of vascularized fibular grafts to obtain anterior spinal fusion in patients with complex spinal disorders and poor fusion environments is described. SUMMARY OF BACKGROUND DATA:The fusion succes...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200110010-00029

    authors: Kim CW,Abrams R,Lee G,Hoyt D,Garfin SR

    更新日期:2001-10-01 00:00:00