Opinion Piece: Patient-Specific Implants May Be the Next Big Thing in Spinal Surgery

被引:6
作者
Amin, Tajrian [1 ,2 ,3 ]
Parr, William C. H. [1 ,4 ,5 ]
Mobbs, Ralph J. [1 ,2 ,3 ]
机构
[1] NeuroSpine Surg Res Grp NSURG, Sydney, NSW 2000, Australia
[2] Prince Wales Private Hosp, Neuro Spine Clin, Randwick, NSW 2031, Australia
[3] Univ New South Wales UNSW, Fac Med, Sydney, NSW 2000, Australia
[4] Univ New South Wales, Fac Med, Prince Wales Clin Sch, Surg & Orthopaed Res Labs SORL, Randwick, NSW 2031, Australia
[5] 3DMorphic Pty Ltd, Matraville 2036, Australia
来源
JOURNAL OF PERSONALIZED MEDICINE | 2021年 / 11卷 / 06期
关键词
Three-Dimensional Printing (3DP); custom implant; patient-specific implants (PSI); spinal surgery; 3D-PRINTED VERTEBRAL BODY; CERVICAL-SPINE; PERSONALIZED MEDICINE; RECONSTRUCTION; ANATOMY;
D O I
10.3390/jpm11060498
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The emergence of 3D-Printing technologies and subsequent medical applications have allowed for the development of Patient-specific implants (PSIs). There have been increasing reports of PSI application to spinal surgery over the last 5 years, including throughout the spine and to a range of pathologies, though largely for complex cases. Through a number of potential benefits, including improvements to the implant-bone interface and surgical workflow, PSIs aim to improve patient and surgical outcomes, as well as potentially provide new avenues for combating challenges routinely faced by spinal surgeons. However, obstacles to widespread acceptance and routine application include the lack of quality long-term data, research challenges and the practicalities of production and navigating the regulatory environment. While recognition of the significant potential of Spinal PSIs is evident in the literature, it is clear a number of key questions must be answered to inform future clinical and research practices. The spinal surgical community must selectively and ethically continue to offer PSIs to patients, simultaneously allowing for the necessary larger, comparative studies to be conducted, as well as continuing to provide optimal patient care, thereby ultimately determining the exact role of this technology and potentially improving outcomes.
引用
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页数:11
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共 46 条
  • [1] Revision of a Failed C5-7 Corpectomy Complicated by Esophageal Fistula Using a 3-Dimensional-Printed Zero-Profile Patient-Specific Implant: A Technical Case Report
    Amin, Tajrian
    Lin, Henry
    Parr, William C. H.
    Lim, Patrick
    Mobbs, Ralph J.
    [J]. WORLD NEUROSURGERY, 2021, 151 : 29 - 38
  • [2] Alignment in total knee arthroplasty A comparison of patient specific implants with the conventional technique
    Arbab, Dariusch
    Reimann, Pia
    Brucker, Martin
    Bouillon, Bertil
    Luering, Christian
    [J]. KNEE, 2018, 25 (05) : 882 - 887
  • [3] Personalised Prehabilitation in High-risk Patients Undergoing Elective Major Abdominal Surgery: A Randomized Blinded Controlled Trial
    Barberan-Garcia, Anael
    Ubre, Marta
    Roca, Josep
    Lacy, Antonio M.
    Burgos, Felip
    Risco, Raquel
    Momblan, Dulce
    Balust, Jaume
    Blanco, Isabel
    Martinez-Palli, Graciela
    [J]. ANNALS OF SURGERY, 2018, 267 (01) : 50 - 56
  • [4] 3D-printed spine surgery implants: a systematic review of the efficacy and clinical safety profile of patient-specific and off-the-shelf devices
    Burnard, Joshua L.
    Parr, William C. H.
    Choy, Wien J.
    Walsh, William R.
    Mobbs, Ralph J.
    [J]. EUROPEAN SPINE JOURNAL, 2020, 29 (06) : 1248 - 1260
  • [5] Three-Level Lumbar En Bloc Spondylectomy with Three-Dimensional-Printed Vertebrae Reconstruction for Recurrent Giant Cell Tumor
    Chin, Brian Zhaojie
    Ji, Tao
    Tang, Xiaodong
    Yang, Rongli
    Guo, Wei
    [J]. WORLD NEUROSURGERY, 2019, 129 : 531 - +
  • [6] Choy Wen Jie, 2018, J Spine Surg, V4, P757, DOI 10.21037/jss.2018.12.01
  • [7] Reconstruction of Thoracic Spine Using a Personalized 3D-Printed Vertebral Body in Adolescent with T9 Primary Bone Tumor
    Choy, Wen Jie
    Mobbs, Ralph J.
    Wilcox, Ben
    Phan, Steven
    Phan, Kevin
    Sutterlin, Chester E., III
    [J]. WORLD NEUROSURGERY, 2017, 105 : 1032.e13 - 1032.e17
  • [8] Vertebral Reconstruction with Customized 3-Dimensional-Printed Spine Implant Replacing Large Vertebral Defect with 3-Year Follow-up
    Chung, Kyu Seon
    Shin, Dong Ah
    Kim, Keung Nyun
    Ha, Yoon
    Yoon, Do Heum
    Yi, Seong
    [J]. WORLD NEUROSURGERY, 2019, 126 : 90 - 95
  • [9] Spinal biomodeling
    D'Urso, PS
    Askin, G
    Earwaker, JS
    Merry, GS
    Thompson, RG
    Barker, TM
    Effeney, DJ
    [J]. SPINE, 1999, 24 (12) : 1247 - 1251
  • [10] Anatomy and examination of the spine
    Devereaux, Michael W.
    [J]. NEUROLOGIC CLINICS, 2007, 25 (02) : 331 - +