Accuracy of placement of pedicle screws in the thoracolumbar spine of dogs with spinal deformities with three-dimensionally printed patient-specific drill guides.
Vet Surg
; 49(2): 347-353, 2020 Feb.
Article
in En
| MEDLINE
| ID: mdl-31617955
ABSTRACT
OBJECTIVE:
To determine the accuracy of pedicle screw placement in the thoracic spine of dogs with spinal deformities with three-dimensionally (3D) printed patient-specific drill guides. STUDYDESIGN:
Retrospective study. SAMPLE POPULATION Six dogs in which sixty pedicle screws were placed in the thoracolumbar spine.METHODS:
Medical records were searched between June 2017 and June 2018 for dogs with clinical signs associated with a thoracolumbar vertebral malformation. Inclusion criteria included MRI and computed tomography (CT) data that were used to create 3D printed patient-specific drill guides. All dogs were stabilized dorsally with guided bicortical pedicle screws and polymethylmethacrylate. Accuracy of screw placement was assessed by immediately postoperative CT according to a modified Zdichavsky classification.RESULTS:
Five pugs and one French bulldog met the inclusion criteria. Sixty bicortical pedicle screws were placed; 96.7% were graded as I (optimal placement), and 3.3% were classified as IIa (partial penetration of the medial pedicle wall) according to a modified Zdichavsky classification.CONCLUSION:
Three-dimensionally printed patient-specific drill guides allowed safe and accurate placement of pedicle screws in the thoracolumbar spine in dogs with vertebral malformation. CLINICALSIGNIFICANCE:
Three-dimensionally printed patient-specific drill guides are a safe and effective method of placing pedicle screws in dogs with thoracolumbar vertebral malformations.
Full text:
1
Database:
MEDLINE
Main subject:
Thoracic Vertebrae
/
Tomography, X-Ray Computed
/
Dog Diseases
/
Printing, Three-Dimensional
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Animals
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Female
/
Humans
/
Male
Language:
En
Year:
2020
Type:
Article