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Three-Dimensional Printing Guide Template Assisted Percutaneous Vertebroplasty (PVP).

Authors :
Hu P
Lin J
Xu J
Meng H
Su N
Yang Y
Fei Q
Source :
Journal of visualized experiments : JoVE [J Vis Exp] 2019 Oct 17 (152). Date of Electronic Publication: 2019 Oct 17.
Publication Year :
2019

Abstract

Percutaneous vertebroplasty (PVP) is considered an effective treatment for the back pain caused by osteoporotic vertebral compression fracture. The accuracy of PVP mainly depends on the surgeons' experience and multiple fluoroscopes during a traditional procedure. Puncture related complications were reported all over the world. To make the surgical procedure more precise and decrease the rate of puncture-related complications, our team applied a three-dimensional printing guide template to PVP to modify the traditional procedure. This protocol introduces how to model target vertebrae DICOM imaging data into three-dimensions in the software, how to simulate operation in this 3-D model, and how to use all of the surgical data to reconstruct a patient specific template for application. Using this template, surgeons can identify suitable puncture points accurately to improve the accuracy of the operation. The whole protocol includes: 1) diagnosis of the osteoporotic vertebral compression fracture; 2) acquisition of CT imaging of the target vertebra; 3) simulation of the operation in the software; 4) design and fabrication of the 3-D printing guide template; and 5) application of the template into an operation procedure.

Details

Language :
English
ISSN :
1940-087X
Issue :
152
Database :
MEDLINE
Journal :
Journal of visualized experiments : JoVE
Publication Type :
Academic Journal
Accession number :
31680679
Full Text :
https://doi.org/10.3791/60010