Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (32): 5158-5163.doi: 10.3969/j.issn.2095-4344.1982
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Application of three-dimensional digital operation planning to individualized adolescent idiopathic scoliosis surgery
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Online:2019-11-18Published:2019-11-18 -
Contact:Li Xiaohe, MD, Professor, Master’s supervisor, Department of Human Anatomy, Basic Medical School, Inner Mongolia Medical University, Huhhot 010010, Inner Mongolia Autonomous Region, China Li Zhijun, Master, Professor, Master’s supervisor, Department of Human Anatomy, Basic Medical School, Inner Mongolia Medical University, Huhhot 010010, Inner Mongolia Autonomous Region, China -
About author:Fu Yu, MD, Chief physician, Department of Spine, the Second Affiliated Hospital of Inner Mongolia Medical University, Huhhot 010010, Inner Mongolia Autonomous Region, China Zhang Yunfeng, Master, Associate chief physician, Department of CT Center, the Second Affiliated Hospital of Inner Mongolia Medical University, Huhhot 010010, Inner Mongolia Autonomous Region, China Fu Yu and Zhang Yunfeng contributed equally to this work. -
Supported by:the National Natural Science Foundation of China, No. 81560348, 81260269, 81550042 (to LZJ), No. 81460330 (to LXH)| the Youth Elite of Science and technology of Inner Mongolia Autonomous Region Colleges and Universities “Young Science and Technology Talents Program”, No. NJYT-15-B05 (to LXH)| the Inner Mongolia Autonomous Region Science and Technology Plan Project (2016) (to LXH)| the Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2016MS08131 (to LXH)| the Science and Technology Innovation Leading Project of Inner Mongolia Autonomous Region (2017) (to LXH)| the Fund for Returnees from the Department of Human Resources and Social Security of Inner Mongolia Autonomous Region (to LXH)
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Fu Yu, Zhang Yunfeng, Su Baoke, Zhao Yan, Xin Daqi, Wang Haiyan, Xu Yangyang, Zhang Cong, Wang Yidan, Wang Xing, Gao Shang, En He, Cai Yongqiang, Wang Jianzhong, Wang Zhiqiang, Gao Mingjie, Li Zhijun, Ma Jierong, Li Xiaohe. Application of three-dimensional digital operation planning to individualized adolescent idiopathic scoliosis surgery[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(32): 5158-5163.
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Digital virtual visual reconstruction for AIS The spine of the AIS patient could be reconstructed using the preoperative thoracolumbar thin-section CT scan data and 3D reconstruction software. The 3D morphology of the spine was clearly displayed, and could be observed from any angle as needed. The internal structure and boundaries of the bone were also clearly displayed after transparency processing (Figure 2). Digital virtual visual planning for AIS A screw placement plan was developed from three angles using the 3D rotation and transparency processing functions in the reverse engineering module of the 3D digital reconstruction software. Comprehensive virtual operation planning was achieved in the software (screw diameter, lateral angle, upward (downward) angle, and screw insertion length (screw path length) (Figure 6). Postoperation follow-up The success rate of screw placement in AIS patients was significantly improved with the development of the digital virtual operation planning system. Of the 24 thoracic pedicle screws placed according to the preoperative digital screw placement plan, 16 were grade I, and 6 were grade II and penetrated the lateral wall. No screws were grade III or IV. All screws met the placement requirements. No surrounding soft tissues and vital structures were damaged. The 6 screws that penetrated the lateral wall were all placed in accordance with the pedicle fixation method, and all penetrated the pedicle wall by less than 2 mm. The patient was followed up for 16 to 24 months. No screw loosening occurred, rendering a 100% success rate of screws placement (Figure 6). Biocompatibility analysis Since the use of screws was an existing long-term clinically used production-licensed product, its adverse reactions and biocompatibility were in line with clinical studies, and no related adverse reactions had been reported. "
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