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2020 ; 12
(4
): e7738
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The SpineBox: A Freely Available, Open-access, 3D-printed Simulator Design for
Lumbar Pedicle Screw Placement
#MMPMID32455058
Clifton W
; Damon A
; Valero-Moreno F
; Nottmeier E
; Pichelmann M
Cureus
2020[Apr]; 12
(4
): e7738
PMID32455058
show ga
Background The recent COVID-19 pandemic has demonstrated the need for innovation
in cost-effective and easily produced surgical simulations for trainee education
that are not limited by physical confines of location. This can be accomplished
with the use of desktop three-dimensional (3D) printing technology. This study
describes the creation of a low-cost and open-access simulation for anatomical
learning and pedicle screw placement in the lumbar spine, which is termed the
SpineBox. Materials and methods An anonymized CT scan of the lumbar spine was
obtained and converted into 3D software files of the L1-L5 vertebral bodies. A
computer-assisted design (CAD) software was used to assemble the vertebral models
into a simulator unit in anatomical order to produce an easily prototyped
simulator. The printed simulator was layered with foam in order to replicate soft
tissue structures. The models were instrumented with pedicle screws using
standard operative technique and examined under fluoroscopy. Results Ten
SpineBoxes were created using a single desktop 3D printer, with accurate
replication of the cortico-cancellous interface using previously validated
techniques. The models were able to be instrumented with pedicle screws
successfully and demonstrated quality representation of bony structures under
fluoroscopy. The total cost of model production was under $10. Conclusion The
SpineBox represents the first open-access simulator for the instruction of spinal
anatomy and pedicle screw placement. This study aims to provide institutions
across the world with an economical and feasible means of spine surgical
simulation for neurosurgical trainees and to encourage other rapid prototyping
laboratories to investigate innovative means of creating educational surgical
platforms in the modern era.