3D printed composite model of pelvic osteochondroma and nerve roots

Abstract Background 3D-printing has become increasingly utilized in the preoperative planning of clinical orthopaedics. Surgical treatment of bone tumours within the pelvis is challenging due to the complex 3D bone structure geometry, as well as the proximity of vital structures. We present a unique...

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Main Authors: Olivia Fox, Andrew Kanawati
Format: Article
Language:English
Published: BMC 2021-09-01
Series:3D Printing in Medicine
Subjects:
Online Access:https://doi.org/10.1186/s41205-021-00121-9
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author Olivia Fox
Andrew Kanawati
author_facet Olivia Fox
Andrew Kanawati
author_sort Olivia Fox
collection DOAJ
description Abstract Background 3D-printing has become increasingly utilized in the preoperative planning of clinical orthopaedics. Surgical treatment of bone tumours within the pelvis is challenging due to the complex 3D bone structure geometry, as well as the proximity of vital structures. We present a unique case where a composite bone and nerve model of the lower lumbar spine, pelvis and accompanying nerve roots was created using 3D-printing. The 3D-printed model created an accurate reconstruction of the pelvic tumour and traversing nerves for preoperative planning and allowed for efficient and safe surgery. Case presentation We present a unique case where a composite bone and nerve model of the lower lumbar spine, pelvis and accompanying nerve roots was created using 3D-printing. The bony pelvis and spine model was created using the CT, whereas the nerve roots were derived from the MRI and printed in an elastic material. 3D-printed model created an accurate reconstruction of the pelvic tumour and traversing nerves for preoperative planning and allowed for efficient and safe surgery. Pelvic tumour surgery is inherently dangerous due to the delicate nature of the surrounding anatomy. The composite model enabled the surgeon to very carefully navigate the anatomy with a focused resection and extreme care knowing the exact proximity of the L3 and L4 nerve roots. Conclusion The patient had complete resection of this tumour, no neurological complication and full resolution of his symptoms due to careful, preoperative planning with the use of the composite 3D model.
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spelling doaj.art-61524c9ed0904a3c9f7827f5ba89b22f2022-12-21T22:02:52ZengBMC3D Printing in Medicine2365-62712021-09-01711610.1186/s41205-021-00121-93D printed composite model of pelvic osteochondroma and nerve rootsOlivia Fox0Andrew Kanawati1Department of Orthopaedics, Westmead HospitalDepartment of Orthopaedics, Westmead HospitalAbstract Background 3D-printing has become increasingly utilized in the preoperative planning of clinical orthopaedics. Surgical treatment of bone tumours within the pelvis is challenging due to the complex 3D bone structure geometry, as well as the proximity of vital structures. We present a unique case where a composite bone and nerve model of the lower lumbar spine, pelvis and accompanying nerve roots was created using 3D-printing. The 3D-printed model created an accurate reconstruction of the pelvic tumour and traversing nerves for preoperative planning and allowed for efficient and safe surgery. Case presentation We present a unique case where a composite bone and nerve model of the lower lumbar spine, pelvis and accompanying nerve roots was created using 3D-printing. The bony pelvis and spine model was created using the CT, whereas the nerve roots were derived from the MRI and printed in an elastic material. 3D-printed model created an accurate reconstruction of the pelvic tumour and traversing nerves for preoperative planning and allowed for efficient and safe surgery. Pelvic tumour surgery is inherently dangerous due to the delicate nature of the surrounding anatomy. The composite model enabled the surgeon to very carefully navigate the anatomy with a focused resection and extreme care knowing the exact proximity of the L3 and L4 nerve roots. Conclusion The patient had complete resection of this tumour, no neurological complication and full resolution of his symptoms due to careful, preoperative planning with the use of the composite 3D model.https://doi.org/10.1186/s41205-021-00121-9CompositePelvic tumourModel3D3D-printingSpine
spellingShingle Olivia Fox
Andrew Kanawati
3D printed composite model of pelvic osteochondroma and nerve roots
3D Printing in Medicine
Composite
Pelvic tumour
Model
3D
3D-printing
Spine
title 3D printed composite model of pelvic osteochondroma and nerve roots
title_full 3D printed composite model of pelvic osteochondroma and nerve roots
title_fullStr 3D printed composite model of pelvic osteochondroma and nerve roots
title_full_unstemmed 3D printed composite model of pelvic osteochondroma and nerve roots
title_short 3D printed composite model of pelvic osteochondroma and nerve roots
title_sort 3d printed composite model of pelvic osteochondroma and nerve roots
topic Composite
Pelvic tumour
Model
3D
3D-printing
Spine
url https://doi.org/10.1186/s41205-021-00121-9
work_keys_str_mv AT oliviafox 3dprintedcompositemodelofpelvicosteochondromaandnerveroots
AT andrewkanawati 3dprintedcompositemodelofpelvicosteochondromaandnerveroots