Departmental Bulletin Paper Utility of a 3-dimensional full-scale NaCl model for rib strut grafting for anterior fusion for cervicothoracic kyphosis

Kobayashi, Kazuyoshi  ,  Imagama, Shiro  ,  Muramoto, Akio  ,  Ito, Zenya  ,  Ando, Kei  ,  Yagi, Hideki  ,  Hida, Tetsuro  ,  Ito, Kenyu  ,  Ishikawa, Yoshimoto  ,  Tsushima, Mikito  ,  Ishiguro, Naoki

77 ( 3 )  , pp.525 - 530 , 2015-08 , Nagoya University Graduate School of Medicine, School of Medicine
ISSN:0027-7622
Description
In severe spinal deformity, pain and neurological disorder may be caused by spinal cord compression. Surgery for spinal reconstruction is desirable, but may be difficult in a case with severe deformity. Here, we show the utility of a 3D NaCl (salt) model in preoperative planning of anterior reconstruction using a rib strut in a 49-year-old male patient with cervicothoracic degenerative spondylosis. We performed surgery in two stages: a posterior approach with decompression and posterior instrumentation with a pedicle screw; followed by a second operation using an anterior approach, for which we created a 3D NaCl model including the cervicothoracic lesion, spinal deformity, and ribs for anterior reconstruction. The 3D NaCl model was easily scraped compared with a conventional plaster model and was useful for planning of resection and identification of a suitable rib for grafting in a preoperative simulation. Surgery was performed successfully with reference to the 3D NaCl model. We conclude that preoperative simulation with a 3D NaCl model contributes to performance of anterior reconstruction using a rib strut in a case of cervicothoracic deformity.
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