Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures
ObjectiveThis study aims to compare the efficacy and safety of freehand atlantoaxial pedicle screws against custom 3D printed navigation template screws in the treatment of upper cervical fractures.MethodsIn our institution from 2010 to 2020, a retrospective cohort analysis of 23 patients with upper...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.932296/full |
| _version_ | 1811258783613059072 |
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| author | Guoqi Niu Guoqi Niu Jiawei Cheng Jiawei Cheng Lutan Liu Lutan Liu Chao Li Chao Li Gong Zhou Gong Zhou Hui Chen Hui Chen Tao Liu Tao Liu Hu Nie Hu Nie Zheng Sun Zheng Sun Weili Jiang Weili Jiang Qiankun Zhou Qiankun Zhou Baoyin Zhao Baoyin Zhao Jun Zhu Jun Zhu Ruochen Yu Ruochen Yu Yalong Guo Yalong Guo Yi Yang Yi Yang Jianzhong Bai Jianzhong Bai |
| author_facet | Guoqi Niu Guoqi Niu Jiawei Cheng Jiawei Cheng Lutan Liu Lutan Liu Chao Li Chao Li Gong Zhou Gong Zhou Hui Chen Hui Chen Tao Liu Tao Liu Hu Nie Hu Nie Zheng Sun Zheng Sun Weili Jiang Weili Jiang Qiankun Zhou Qiankun Zhou Baoyin Zhao Baoyin Zhao Jun Zhu Jun Zhu Ruochen Yu Ruochen Yu Yalong Guo Yalong Guo Yi Yang Yi Yang Jianzhong Bai Jianzhong Bai |
| author_sort | Guoqi Niu |
| collection | DOAJ |
| description | ObjectiveThis study aims to compare the efficacy and safety of freehand atlantoaxial pedicle screws against custom 3D printed navigation template screws in the treatment of upper cervical fractures.MethodsIn our institution from 2010 to 2020, a retrospective cohort analysis of 23 patients with upper cervical fractures was done. These patients were separated into two groups: group A (N = 12), which received customized 3D printed navigation template-assisted screws with virtual reality techniques, and group B (N = 11), which received freehand screws assisted by intraoperative fluoroscopy. Every patient was monitored for more than 1 year. The two groups were contrasted in terms of screw implant accuracy, cervical spine Japanese Orthopaedic Association (JOA) score, American Spinal Injury Association (ASIA) score, visual analogue scale (VAS) score, surgical time, fluoroscopy times, and intraoperative blood loss.ResultsA total of 88 atlantoaxial pedicle screws in all, 46 in group A and 42 in group B, were implanted. In group A, the screw insertion accuracy rate was 95.7%, compared to 80.0% in group B (P < 0.05). When compared to group B, group A had shorter surgery times, less blood loss, fewer fluoroscopies, a higher short-term JOA score, and overt pain reduction (P < 0.05). However, there was no discernible difference between the two groups' VAS scores, long-term JOA scores, or ASIA scores (sensory and motor), at the most recent follow-up.ConclusionIndividualized 3D printed guide leads to significant improvement in the screw safety, efficacy, and accuracy, which may be a promising strategy for the treatment of upper cervical fractures. |
| first_indexed | 2024-04-12T18:19:48Z |
| format | Article |
| id | doaj.art-843e31f6862044dea354730a55b401a3 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-12T18:19:48Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-843e31f6862044dea354730a55b401a32022-12-22T03:21:30ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.932296932296Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fracturesGuoqi Niu0Guoqi Niu1Jiawei Cheng2Jiawei Cheng3Lutan Liu4Lutan Liu5Chao Li6Chao Li7Gong Zhou8Gong Zhou9Hui Chen10Hui Chen11Tao Liu12Tao Liu13Hu Nie14Hu Nie15Zheng Sun16Zheng Sun17Weili Jiang18Weili Jiang19Qiankun Zhou20Qiankun Zhou21Baoyin Zhao22Baoyin Zhao23Jun Zhu24Jun Zhu25Ruochen Yu26Ruochen Yu27Yalong Guo28Yalong Guo29Yi Yang30Yi Yang31Jianzhong Bai32Jianzhong Bai33Department of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamDepartment of Orthopedics, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, ChinaDigital Orthopedics Technology R/D and Application Innovation TeamObjectiveThis study aims to compare the efficacy and safety of freehand atlantoaxial pedicle screws against custom 3D printed navigation template screws in the treatment of upper cervical fractures.MethodsIn our institution from 2010 to 2020, a retrospective cohort analysis of 23 patients with upper cervical fractures was done. These patients were separated into two groups: group A (N = 12), which received customized 3D printed navigation template-assisted screws with virtual reality techniques, and group B (N = 11), which received freehand screws assisted by intraoperative fluoroscopy. Every patient was monitored for more than 1 year. The two groups were contrasted in terms of screw implant accuracy, cervical spine Japanese Orthopaedic Association (JOA) score, American Spinal Injury Association (ASIA) score, visual analogue scale (VAS) score, surgical time, fluoroscopy times, and intraoperative blood loss.ResultsA total of 88 atlantoaxial pedicle screws in all, 46 in group A and 42 in group B, were implanted. In group A, the screw insertion accuracy rate was 95.7%, compared to 80.0% in group B (P < 0.05). When compared to group B, group A had shorter surgery times, less blood loss, fewer fluoroscopies, a higher short-term JOA score, and overt pain reduction (P < 0.05). However, there was no discernible difference between the two groups' VAS scores, long-term JOA scores, or ASIA scores (sensory and motor), at the most recent follow-up.ConclusionIndividualized 3D printed guide leads to significant improvement in the screw safety, efficacy, and accuracy, which may be a promising strategy for the treatment of upper cervical fractures.https://www.frontiersin.org/articles/10.3389/fsurg.2022.932296/fullupper cervical deformity3D printingguide templatepedicle screwupper cervical fractures |
| spellingShingle | Guoqi Niu Guoqi Niu Jiawei Cheng Jiawei Cheng Lutan Liu Lutan Liu Chao Li Chao Li Gong Zhou Gong Zhou Hui Chen Hui Chen Tao Liu Tao Liu Hu Nie Hu Nie Zheng Sun Zheng Sun Weili Jiang Weili Jiang Qiankun Zhou Qiankun Zhou Baoyin Zhao Baoyin Zhao Jun Zhu Jun Zhu Ruochen Yu Ruochen Yu Yalong Guo Yalong Guo Yi Yang Yi Yang Jianzhong Bai Jianzhong Bai Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures Frontiers in Surgery upper cervical deformity 3D printing guide template pedicle screw upper cervical fractures |
| title | Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures |
| title_full | Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures |
| title_fullStr | Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures |
| title_full_unstemmed | Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures |
| title_short | Individualized 3D printed navigation template-assisted atlantoaxial pedicle screws vs. free-hand screws for the treatment of upper cervical fractures |
| title_sort | individualized 3d printed navigation template assisted atlantoaxial pedicle screws vs free hand screws for the treatment of upper cervical fractures |
| topic | upper cervical deformity 3D printing guide template pedicle screw upper cervical fractures |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.932296/full |
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