Application value of 3D printing assisted pedicle screw placement in the treatment of thoracolumbar spinal fractures

摘要

Objective:To evaluate the value of 3D printing assisted pedicle screw placement in the treatment of thoracolumbar spinal fractures.Methods: 56 cases of thoracolumbar spinal fractures patients underwent 3D printing assisted pedicle screw placement (study group) and another 56 cases of thoracolumbar spinal fractures patients underwent conventional screw placement (control group) in our department from February 2016 to September 2017 were selected. Then the surgical related indicators, JOA score, the reduction of injured vertebrae and complications were recorded and compared between groups at different time points, including, before operation (T0), postoperative 1mon (T1), postoperative 6mon (T2) and postoperative 12mon (T3).Results: The operation time, intraoperative X-ray fluoroscopy frequency and intraoperative blood loss in the study group were significantly lower than those in the control group (P<0.05), meanwhile the accuracy rate of screw placement was significantly higher than that of the control group (P<0.05). JOA scores at T1, T2 and T3 in both groups were significantly higher than those at T0 (P<0.05), and JOA scores at all postoperative time points in the study group were significantly higher than those in the control group (P<0.05). Compared with T0, the ratio of the anterior and posterior border height of injured vertebrae in the two groups at T2 was significantly increased (P<0.05), while the Cobb Angle of sagittal kyphoid significantly was decreased (P<0.05). Meanwhile, the reduction of injured vertebrae in the study group was significantly better than that the control group at T2 (P<0.05). The incidence of complications in the study group was significantly lower than that in the control group (P<0.05).Conclusion: The application of 3D printing assisted pedicle screw placement in the treatment has the advantages of less injury to patients, good prognosis and high safety, which is worthy of clinical application.