Three-Dimensional Digital Design for Osteotomy in the Treatment of Congenital Hemivertebra

Abstract:

To establish a new three-dimensional (3D) digital design method for osteotomy and assess its application value in the surgical treatment of hemivertebrae. Preoperative 3D digital designs for osteotomy of the hemivertebrae were performed, which included computer simulation of the osteotomy and the internal fixation process, and computer-assisted design (CAD) of the templates for osteotomy of the hemivertebrae, pedicle screw positioning, and internal fixation rods. Template-guided osteotomy of the hemivertebrae plus pedicle screw and rod internal fixation were accurately implemented. The preoperative use of this new computer-aided 3D digitized and paperless surgical design can improve the safety, accuracy, and operative time for osteotomy in the treatment of hemivertebrae.

• Periodical: Advanced Materials Research (Volume 804)
• Pages: 167-173
• DOI: https://doi.org/10.4028/www.scientific.net/AMR.804.167
• Online since: September 2013
• Authors: Huan Wen Ding, Guang Wen Yu, Qiang Tu, Jian Jian Shen, Ying Jun Wang
• Keywords: Hemivertebrae, Individualized Surgery, Three-Dimensional Digital Design

References

[1] Dewei Zou, Jigong Wu, Huasong Ma. Resection of hemivertebra for the treatment of congenital scoliokyphosis. Chinese Journal of Spine and Spinal Cord 2008; 18; 191-5.

[2] Acosta FLJ, Thompson TL, Campbell S, et al. Use of intraoperative isocentric c-arm 3d fluoroscopy for sextant percutaneous pedicle screw placement: case report and review of the literature. Spine J 2005; 5: 339-43.

DOI: 10.1016/j.spinee.2004.09.012

[3] Gebhard F, Weidner A, Liener UC, et al. Navigation at the spine. Injury 2004; 35 (suppl 1): S-A35-A45.

[4] Holly LT, Foley KT. Intraoperative spinal navigation. Spine 2003; 28: S54-S61.

DOI: 10.1097/01.brs.0000076899.78522.d9

[5] Huanwen Ding, Qiang Tu, Yingjun Wang et al. Establishment of new digitized orthopedic surgery method and its wide application in clinical practice. Chinese Journal of Orthopedic Clinical and Basic Research 2010; 2; 92-7.

[6] Lixiang Ding, Guixing Qiu, Yipeng Wang. Surgical treatment for hemivertebra-induced congenital scoliosis [J]. Chinese Journal of Orthopedics 2004; 24; 309-12.

[7] Keyi Yu, Guixing Qiu, Yipeng Wang. Surgical treatment strategies for congenital scoliosis. Chinese Journal of Bone and Joint Surgery 2008; 1; 158-62.

[8] Gill-Robinson H, Elias J, Bender F, et al. Using image analysis software to create a physical skull model for the facial reconstruction of a wrapped akhmimic mummy. J Comput Inf Technol 2006; 14: 45.

DOI: 10.2498/cit.2006.01.05

[9] Huanwen Ding, Qiang Tu, Hong Wang, et al. Computer-assisted to personalized excision of bone tumer and precise bone reconstruction. Advanced materials research. 2012, 472-475: 1985-(1988).

DOI: 10.4028/www.scientific.net/amr.472-475.1985

[10] Bush CH, Kalen V. Three-dimentional computed tomography in the assessment of congenital scoliosis [J]. Skeletal Radiol, 1999, 28: 623 - 637.

DOI: 10.1007/s002560050565