RT Journal Article
SR Electronic
T1 Three-Dimensional Printed Patient Models for Complex Pediatric Spinal Surgery
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 49
OP 53
DO 10.31486/toj.18.0117
VO 19
IS 1
A1 Coote, Jeffrey D.
A1 Nguyen, Theresa
A1 Tholen, Kaitlyn
A1 Stewart, Caleb
A1 Verter, Elizabeth
A1 McGee, John
A1 Celestre, Paul
A1 Sarkar, Korak
YR 2019
UL http://www.ochsnerjournal.org/content/19/1/49.abstract
AB Background: Pediatric spinal deformity surgeries are challenging operations that require considerable expertise and resources. The unique anatomy and rarity of these cases present challenges in surgical training and preparation. We present a case series illustrating how 3-dimensional (3-D) printed models were used in preoperative planning for 3 cases of pediatric spinal deformity surgery.Case Series: Patient 1 was a 6-year-old male with scoliosis secondary to an L3 hemivertebra and severe congenital heart disease who underwent excision of the L3 hemivertebra and L2-L4 spinal fusion. Patient 2 was an 11-year-old male with an L2 hemivertebra and lumbar kyphosis who underwent excision of the L2 hemivertebra and T12-L4 spinal fusion. Patient 3 was a 6-year-old female with Down syndrome who presented with atlantoaxial instability and acute lymphoblastic leukemia. She underwent occipital-cervical spinal fusion and decompression. Prior to surgery, 3-D printed models of the patients’ spines were created based on computed tomography (CT) imaging.Conclusion: The anatomic complexity and risk of devastating neurologic consequences in spine surgery call for careful preparations. 3-D models enable more efficient and precise surgical planning compared to the use of 2-dimensional CT/magnetic resonance images. The 3-D models also make it easier to visualize patient anatomy, allowing patients and their families who lack medical training to interpret and understand cross-sectional anatomy, which in our experience, enhanced the consultations.