Bai Yunsong,Zhang Xuejun,Cao Jun,et al.Clinical efficacy of three-dimensional model in the surgical treatment of congenital scoliosis in children[J].Journal of Clinical Pediatric Surgery,,19():115-119.[doi:10.3969/j.issn.1671-6353.2020.02.005]
Clinical efficacy of three-dimensional model in the surgical treatment of congenital scoliosis in children
- Keywords:
- 3D Printed Model; Scoliosis/CN; Osteotomy; Treatment Outcome; Complications; Child
- CLC:
- R726.8;R682.3;R44
- Abstract:
- Objective To explore the clinical efficacy of three-dimensional (3D) printed model in the surgical treatment of congenital scoliosis in children.Methods From December 2015 to December 2016,a total of 83 operated children of congenital scoliosis were reviewed.According to whether or not using 3D model,they were divided into 3D model usage group (A,n=44) and 3D model non-usage control group (B,n=39).The operative durations,surgical outcomes and complications between two groups were compared.Results There were 47 boys and 36 girls.The follow-up period was (24-35) months.The operative duration of group A was significantly shorter than that of group B and bleeding volume and intraoperative fluoroscopic frequency were significantly less than those of group B (P<0.05).The accuracy of screw placement in observation group was significantly higher than that in group B and the average screw placement time was significantly shorter than that in group B (P<0.05).During follow-ups,both radiology and computed tomography (CT) showed that the corrective rate had no significant inter-group difference.No such serious complications as vascular and nerve injury occurred in two groups.Incidence of pleural and dural injury had no significant inter-group difference (P>0.05).Conclusion 3D printed model can distinctly and intuitively delineate the structure and shape of spine in children with congenital scoliosis and provide guidance for surgical planning and screw placement.And it also reduces fluoroscopic frequency and bleeding volume.
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Memo
收稿日期:2019-01-28。
基金项目:北京市属医院科研培育计划项目（编号：PX2020049）
通讯作者:张学军,Email:zhang-x-j04@163.com