Clinical Outcome of Patients with Individualized 3D Printing Assisted C1-C2 Fusion

Yıl 2019, Cilt: 41 Sayı: 4, 413 - 420, 01.10.2019

Ceren Kızmazoğlu , Hasan Emre Aydın , İsmail Kaya , Reşit Buğra Hüsemoğlu , Orhan Kalemci Ercan Özer

https://doi.org/10.20515/otd.478156

Öz

The aim of this
study was to investigate the effect of surgical planning and application on the
clinical outcomes of preoperative models of patients who underwent posterior C1
- C2 fusion using C1 lateral mass - C2 pedicle screw technique.

Eleven patients who
were admitted to our clinic with atlantoaxial dislocation were included in this
study. Fused deposition modeling three-dimensional printer with special design
was used for the production of three-dimensional printing material. Surgical
planning was performed on preoperative models and applied. The mean age of the
patients was 52.54 ± 20.45 years (24-75). Of the 11 patients, 7 were male
(63.6%), 4 were female (36.4%). Two (18.2%) of these patients had congenital
dislocation,   9 (81.8%) were admitted to
our clinic due to trauma. The mean operation time of the patients was 260.90 ±
79.17 min. The mean preoperative atlantodental interval was 3.44 ± 1.38 mm and
the mean postoperative atlantodental interval was 2.20 ± 0.89 mm. C1-C2 fusion
with preoperative three-dimensional modeling is an effective method in the
treatment of atlantoaxial dislocation. The use of these models offers surgeons
advantages by increasing the ability to perform preoperative simulation. The 3D
modeling technique reduces screw malposition during surgery and shortens the
operation time and increases intraoperative safety.

Anahtar Kelimeler

Atlantoaxial; surgical planning; dislocation; three-dimensional printer

Üç Boyutlu Yazıcı Yardımı ile Kişiye Özel C1-C2 Füzyon Yapılan Hastaların Klinik Sonuçları

Öz

Bu çalışmanın
amacı, C1 lateral mass - C2 pedikül vidalama kullanılarak posterior C1 – C2
füzyon yapılacak olan hastaların 3 boyutlu (3B) yazıcı ile oluşturulan
preoperatif modelleri üzerinde cerrahi planlama ve uygulamasının klinik
sonuçlara etkisini araştırmaktır. Kliniklerimize atlantoaksiyel dislokasyon
nedeniyle başvuran 11 hasta bu çalışmaya alınmıştır. Üç boyutlu baskı
materyalinin üretimi için özel tasarımlı katmanlı üretim teknolojisi olan üç
boyutlu yazıcı kullanıldı. Preoperatif modeller üzerinde cerrahi planlama
yapıldı ve uygulandı. Hastaların yaş ortalaması 52.54±20.45 yaş (24-75) idi. 11
hastanın 7’si erkek (%63.6), 4’ü kadındı (%36.4). Bu hastaların 2’si (%18.2)
konjenital anomali nedenli, 9’u (%81.8) travma nedeniyle kliniğimize başvurdu.
Hastaların operasyon süresi ortalama 260.90±79.17 dakika idi. Preoperatif
atlantodental aralık ortalaması 3.44±1.38 mm, postoperatif atlantodental aralık
ortalaması 2.20±0.89 mm olarak bulundu. Preoperatif üç boyutlu modellemenin
yardımı ile yapılan C1-C2 füzyonu atlantoaksiyel dislokasyonun tedavisinde
etkili bir yöntemdir. Bu modellerin kullanımı, ameliyat öncesi simülasyon yapma
becerisini artırarak cerrahlara avantajlar sunar. 3B’lu modelleme tekniği ameliyat
sırasında, vida malpozisyonu azaltır, ameliyat süresini kısaltarak intraoperatif
güvenliği artırır.

Anahtar Kelimeler

Atlantoaksiyel ; cerrahi planlama; dislokasyon; üç boyutlu yazıcı

Kaynakça

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