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European Spine Journal

Erschienen in:

27.07.2017 | Case Report

Design of mulitlevel OLF approach (“V”-shaped decompressive laminoplasty) based on 3D printing technology

verfasst von: Qinjie Ling, Erxing He, Hanbin Ouyang, Jing Guo, Zhixun Yin, Wenhua Huang

Erschienen in: European Spine Journal | Sonderheft 3/2018

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Abstract

Purpose

To introduce a new surgical approach to the multilevel ossification of the ligamentum flavum (OLF) aided by three-dimensional (3D) printing technology.

Methods

A multilevel OLF patient (male, 66 years) was scanned using computed tomography (CT). His saved DICOM format data were inputted to the Mimics14.0 3D reconstruction software (Materialise, Belgium). The resulting 3D model was used to observe the anatomical features of the multilevel OLF area and to design the surgical approach. At the base of the spinous process, two channels were created using an osteotomy bilaterally to create a “V” shape to remove the bone ligamentous complex (BLC). The decompressive laminoplasty using mini-plate fixation was simulated with the computer. The physical model was manufactured using 3D printing technology. The patient was subsequently treated using the designed surgery.

Result

The operation was completed successfully without any complications. The operative time was 90 min, and blood loss was 200 ml. One month after the operation, neurologic function was recovered well, and the JOA score was improved from 6 preoperatively to 10. Postoperative CT scanning showed that the OLF was totally removed, and the replanted BLC had not subsided.

Conclusion

3D printing technology is an effective, reliable, and minimally invasive method to design operations. The technique can be an option for multilevel OLF surgical treatment. This can provide sufficient decompression with minimum damage to the spine and other intact anatomical structures.

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Titel: Design of mulitlevel OLF approach (“V”-shaped decompressive laminoplasty) based on 3D printing technology
verfasst von: Qinjie Ling
Erxing He
Hanbin Ouyang
Jing Guo
Zhixun Yin
Wenhua Huang
Publikationsdatum: 27.07.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe Sonderheft 3/2018
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5234-0

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