NO SIGNIFICANT EFFECT OF 3D MODELLING ON SURGICAL PLANNING IN SPINAL DEFORMITIES

Abstract

Objective: To evaluate the effect of 3d printed models on surgical pre-operative planning of complex spinal deformi-ties. Methods: In our study, five orthopedic surgeons made surgical planning of 5 patients with severe spinal defor-mity in three conditions: X-ray with computer tomography (X-ray-CT), 3D-computed tomography (3dCT), and 3d printed spine models. Operation plans were examined according to the level and number of instrumentations, osteotomy level, and time required for decision-making. Results: X-ray-CT, 3dCT, and 3d modeling methods were compared, and no statistically significant difference was observed in the num-ber of screws and osteotomy score to be used in operation. The time required for decision ranking is 3d Model, 3d CT, and Xray-CT. Conclusions: 3d printed models do not influence the operative plan significantly; however, it reduces surgical planning time at pre-op duration, and those models gave some opportunities to practice with implants on a patient's 3d spine model. Level of Evidence III; Diagnostic Studies -Investigating a Diagnostic Test.