PERSONALIZED REPORTS ON THE CREATION OF SPECIAL CERVICAL VERTEBRA IMPLANT MODEL AND SIMULATION IN SPINE SURGERY
Project no. 62 · Status: Kapanmış · 2016
Summary
INTRODUCTION: The anatomical deterioration of the anatomical structure caused by high-fall, high-energy trauma caused by spinal fractures, disc injuries, tumoral or degenerative bone deformities caused by cervical vertebrae and loss of bone and cartilage is a condition that reduces the quality of life and removes work and social life. To correct this situation, the bone tissue, nail, plaque or implant taken from another part of the patient is replaced by surgical removal of the cervical vertebrae. Patients' status can be defined as difficult and poor quality of life because permanent changes after nail fixation, sequelae and injuries are added to the process. The most effective treatment option is replacing the deformed vertebrae implants. Long hospitalization time, recurrent surgeries and permanent disability in hospital, loss of national wealth for person and country economy. Taking this into consideration, it is necessary to have an innovative viewpoint that the physicians use appropriate methods and tools supported by current technology to remove the limitations of current treatment modalities, determine treatment strategy and manage treatment. PURPOSE: The rapid development of information and technology, the rapid advances in computer technology, opens a new door in the field of spinal surgery. Recent studies have shown that models created using three-dimensional (3D) modeling and printing technology are powerful tools for preoperative reasoning, strategy development, planning and decision making. In this study, it is aimed to design the model of the cervical intervertebral disc and the cervical vertebra specific to the individual, to simulate the design, production and implantation process. METHODS: In our study, computed tomography data will be used to obtain a digital 3D model of cervical vertebra integrity. Modeling of the structure will be provided using computer-aided software programs to obtain the digital spinal column. After the three-dimensional modeling, the solid sample of the model will be obtained as a product with a three-dimensional printer. Establishment of the implant model of the cervical vertebrae specific to the individual is a step that provides transition from the patient-specific patient data to the implant formation stage. The likelihood of complications such as implant migration and implant collapse will also be investigated. FINDINGS AND RESULTS: At the same time with this project presented, the creation of a virtual surgery simulation training mode, which will achieve the case-specific surgical intervention, is the secondary aim. While there are many studies showing that virtual surgery and simulation use are useful for completing operative training in the acquisition of technical skills during brain and spinal surgery training, there is still no effective module for operation and treatment that can be simulated in real size and case. With such an innovative method, venture planning and implementation has the potential to improve the training of specialist spine surgeons. CONCLUSION AND RECOMMENDATIONS: Within the scope of this project; It was planned to design modules consisting of implant model and virtual surgery templates that reveal the specific cervical vertebrae anatomical details of the case using 3D software technology with the cooperation of brain and spine surgeons, anatomists, radiologists, medical educators and 3D printing specialists. These new simulation models will contribute to the development of surgical procedure skills and the acquisition of new approaches with the experience gained with risk-free and safe operative practices. Thus, the planning of safe and successful initiatives, discussions on planned initiatives, and simulations that will determine and implement the most appropriate method will be an important educational platform and learning environment especially for research assistants and new specialists.