|
|
|
| The application of digital orthopedics technology in the individualized treatment of thoracolumbar fractures |
| YANG Yu1, XU Wei1, JIN Gang1, LIU Dapeng2, KAISAIERJIANG·Aihamati2 |
| 1.Department of Orthopedics, the Affiliated Taizhou Hospital of Wenzhou Medical University, Taizhou 317000, China; 2.Department of Orthopedics, the Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China |
|
| Cite this article: |
|
YANG Yu,XU Wei,JIN Gang, et al. The application of digital orthopedics technology in the individualized treatment of thoracolumbar fractures[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2019, 49(12): 918-921.
|
|
|
|
Abstract Objective: To explore the application value of digital orthopedics technology in the individualized treatment of thoracolumbar fractures. Methods: A total of 10 patients with thoracolumbar vertebral fracture were enrolled from December 2015 to June 2017, who had to be operated on internal fixation of thoracolumbar fractures. The DICOM data were obtained preoperatively by means of CT scan. Injured and surrounding vertebra were reconstructed in patients with the aid of digital orthopedics technology and related software (Mimics 17.0, Geomagic studio12.0, Unigraphics NX10.0, Rapid prototyping technology). According to the related vertebral sclerotin condition in three-dimensional space, the operative plan was made, the nail canal designed, the navigation template done and the operation procedure simulated. Intra-operative thoracolumbar vertebral fracture operations were implemented with pedicle navigation template. The postoperative effect of screw placement and its complications were recorded. Results: The thoracolumbar vertebral fracture operations in 10 cases were successfully completed. Totally 64 pedicle screws were placed. In accordance with the Gertzbein and Robbins rating standard: 53 cases of pedicle screws were Grade I, 9 were Grade II and 2 were Grade III, with an accuracy of screw placement being 96.9% (62/64). All patients received 12-24 months’ follow-up, average time 13.0±6.3 months, and no complications related to screw placement such as screw false placement, spinal cord injury, internal fixation failure and so on were found. Conclusion: Digital orthopedics technology provides a kind of new change and method for the individualized and lean treatment of thoracolumbar fractures.
|
|
Received: 25 March 2019
|
| |
|
|
|
[1] 艾福志, 尹庆水, 夏虹, 等. 不可复性寰枢椎脱位的临床分型、治疗及数字骨科技术的应用[J]. 中国骨科临床与基础研究杂志, 2015, 7(5): 261-268.
[2] 张睿, 楼溢桯, 陈锴, 等. 3D打印技术在股骨髁间骨折治疗中的应用[J]. 温州医科大学学报, 2017, 47(6): 412-415.
[3] Gertzbein S D, Robbins S E. Accuracy of pedicular screw placement in vivo[J]. Spine, 1990, 15(1): 11-14.
[4] 王建华, 尹庆水, 夏虹, 等. 计算机辅助设计快速成形技术在经口减压内固定手术中的应用[J]. 中华创伤骨科杂志, 2011, 13(8): 730-734.
[5] 谭海涛, 谢兆林, 江建中, 等. 数字化导航模板在颈椎椎弓根螺钉置入中的应用[J]. 中国脊柱脊髓杂志, 2015, 25(6): 497-502.
[6] 林崇翔, 屠呈威, 郑顺友. 3D打印技术辅助个性化钛网联合颊脂垫和前臂皮瓣修复上颌缺损[J]. 温州医科大学学报, 2018, 48(6): 43-46.
[7] 白波, 陈玉书. 数字化技术给骨科学带来了全新的变革[J]. 中华关节外科杂志(电子版), 2015, 9(1): 1-2.
[8] 张鹰, 杨宇, 凯赛尔江·艾合买提, 等. 数字骨科技术在THA中假体选择及置入的应用研究[J]. 创伤外科杂志, 2017, 19(1): 22-25.
[9] 杨晶, 程奎, 倪鹏辉, 等. 数字化快速成型技术在骨折畸形愈合个体化治疗的应用研究[J]. 中国骨与关节损伤杂志, 2015, 30(7): 727-729. |
|
|
|
