Augmented Reality Supported Cervical Transpedicular Fixation on 3D-Printed Vertebrae Model: An Experimental Education Study

The parameters investigated and used for the production of vertebrae models in this study can be used for experimental material production for future studies to investigate pedicle screw positioning.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:AIM: To investigate the use of Augmented Reality (AR) technology as it contributes to spinal surgery education with the free-hand technique, and might reduce the error ratio.

📊

Key Findings & Data:MATERIAL and METHODS: Ten candidates, with anatomy education but no surgical experience, applied 36 pedicle screws with C2-C3 posterior transpedicular fixation technique to nine vertebrae models produced via a three-dimensional (3D) printer.RESULTS: Using AR to apply pedicle screws to the experimental vertebrae model increased the safety screw ratio significantly.

💡

Conclusion & Impact:The parameters investigated and used for the production of vertebrae models in this study can be used for experimental material production for future studies to investigate pedicle screw positioning.

🔬Design:Modeling & Simulation

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Özet

AIM: To investigate the use of Augmented Reality (AR) technology as it contributes to spinal surgery education with the free-hand technique, and might reduce the error ratio. MATERIAL and METHODS: Ten candidates, with anatomy education but no surgical experience, applied 36 pedicle screws with C2-C3 posterior transpedicular fixation technique to nine vertebrae models produced via a three-dimensional (3D) printer.RESULTS: Using AR to apply pedicle screws to the experimental vertebrae model increased the safety screw ratio significantly. In comparison of Grade 0 screws to other grades: 6/18 screws (33.3%) in the free-hand technique Group (n=18), and 14/18 screws (77.8%) in the AR Group (n=18), were measured for screw insertion safety ratios. The difference was statistically significant (p=0.018). The resemblance between our results and the results of previous studies researching supportive systems indicates our 3D printed vertebra model might be a helpful educational material.CONCLUSION: AR increases the safety ratio of cervical pedicle screw fixation significantly. The parameters investigated and used for the production of vertebrae models in this study can be used for experimental material production for future studies to investigate pedicle screw positioning.

🔖

Cite This Article

BOYACI, M. G., FİDAN, U., YURAN, A. F., YILDIZHAN, S., KAYA, F., KIMSESIZ, O., OZDIL, M., CENGIZ, A., ASLAN, A. (2020). Augmented Reality Supported Cervical Transpedicular Fixation on 3D-Printed Vertebrae Model: An Experimental Education Study. Turkish Neurosurgery, Cilt: 30 - Sayı: 6, 937–943. https://ajindex.com/articles/404306

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (1)

Anitha R, Arunachalam S, Radhakrishnan P: Critical parameters influencing the quality of prototypes in fused deposition modelling. J Mater Process Technol 118:385-388, 2001 2. Bydon M, Mathios D, Macki M, De la Garza-Ramos R, Aygun N, Sciubba DM, Witham TF, Gokaslan ZL, Bydon A, Wolinksy JP: Accuracy of C2 pedicle screw placement using the anatomic freehand technique. Clin Neurol Neurosurg 125:24- 27, 2014 3. Chang G, Morreale P, Medicherla P: Applications of augmented reality systems in education. In: Gibson D, Dodge B (eds), Proceedings of SITE 2010-Society for Information Technology & Teacher Education International Conference. San Diego, CA: Association for the Advancement of Computing in Education (AACE), 2010:1380-1385 4. Dalbayrak S, Yilmaz M, Firidin M, Naderi S: Traumatic spondylolisthesis of the axis treated with direct C2 pars screw. Turk Neurosurg 19:163-167, 2009 5. Elmi-Terander A, Skulason H, Soderman M, Racadio J, Homan R, Babic D, van der Vaart N, Nachabe R: Surgical navigation technology based on augmented reality and integrated 3D intraoperative imaging: A spine cadaveric feasibility and accuracy study. Spine 41:E1303-E1311, 2016 6. Erturk M, Sengul G: C7 vertebra anatomy as a guide for transpedicular screw fixation. Med J 21:121-124, 2006 7. Gertzbein SD, Robbins SE: Accuracy of pedicular screw placement in vivo. Spine 15:11-14, 1990 8. Guo F, Dai J, Zhang J, Ma Y, Zhu G, Shen J, Niu G: Individualized 3D printing navigation template for pedicle screw fixation in upper cervical spine. PloS One 12: e0171509, 2017 9. Hott JS, Deshmukh VR, Klopfenstein JD, Sonntag VK, Dickman CA, Spetzler RF, Papadopoulos SM: Intraoperative Iso-C C-arm navigation in craniospinal surgery: The first 60 cases. Neurosurgery 54:1131-1136, 2004 10. Kaneyama S, Sugawara T, Sumi M, Higashiyama N, Takabatake M, Mizoi K: A novel screw guiding method with a screw guide template system for posterior C-2 fixation. J Neurosurg-Spine 21:231-238, 2014 11. Kotil K, Bilge T: Accuracy of pedicle and mass screw placement in the spine without using fluoroscopy: A prospective clinical study. Spine J 8:591-596, 2008 12. Li C, Cai Y, Wang W, Sun Y, Li G, Dimachkieh AL, Tian W, Sun R: Combined application of virtual surgery and 3D printing technology in postoperative reconstruction of head and neck cancers. BMC Surg 19: 182, 2019 13. Liu H, Wu J, Tang Y, Li H, Wang W, Li C, Zhou Y: Percutaneous placement of lumbar pedicle screws via intraoperative CT image–based augmented realit