Additive technologies in surgical treatment of congenital spinal deformities in children: a literature review

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Abstract

BACKGROUND: Despite the availability of many surgical treatment options, the surgical management of congenital spinal deformities in preschool children remains a significant and pressing problem. Current techniques for transpedicular screw placement have some limitations.

AIM: The aim of the study was to evaluate the results of surgical treatment of children with congenital thoracic and lumbar deformities with impaired vertebral development based on literature data.

MATERIALS AND METHODS: This article reviews the literature on surgical techniques for congenital spinal deformities using additive technologies. Data searches were performed using keywords in the PubMed and eLibrary databases. A total of 396 papers were selected for 2000–2023, of which 51 were thematically relevant.

RESULTS: It is too early to draw conclusions about the positive results of using additive techniques, especially in the surgical treatment of congenital deformities in preschool children with hemivertebrae, due to the small number of patients described in the literature by different authors.

CONCLUSIONS: After reviewing several articles on the use of guides for transpedicular screw placement in congenital thoracic and lumbar anomalies in early preschool children with impaired vertebral development, it is concluded that this promising technique provides high accuracy of screw placement, reduces the number of complications, but further research is needed.

About the authors

Serik Zh. Serikov

National Scientific Center of Traumatology and Orthopedics named after Academician N.D. Batpenov

Email: serik_140@mail.ru
ORCID iD: 0000-0003-0982-9299
Kazakhstan, Astana

Olzhas S. Bekarisov

National Scientific Center of Traumatology and Orthopedics named after Academician N.D. Batpenov

Email: info@nscto.kz
ORCID iD: 0000-0002-7318-3739

MD, PhD, Cand. Sci. (Medicine)

Kazakhstan, Astana

Sergey V. Vissarionov

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930

MD, PhD, Dr. Sci. (Medicine), Professor, Corresponding Member of the RAS

Russian Federation, Saint Petersburg

Seidali S. Abdaliyev

National Scientific Center of Traumatology and Orthopedics named after Academician N.D. Batpenov

Email: abdaliev73@mail.ru
ORCID iD: 0000-0001-7439-141X

MD, PhD, Cand. Sci. (Medicine)

Kazakhstan, Astana

Daniyar Zh. Yestay

National Scientific Center of Traumatology and Orthopedics named after Academician N.D. Batpenov; Karaganda Medical University

Author for correspondence.
Email: daniyar.estay@gmail.com
ORCID iD: 0000-0003-3583-6871
Kazakhstan, Astana; Karaganda

References

  1. Ruf M, Harms J. Posterior hemivertebra resection with transpedicular instrumentation: Early correction in children aged 1 to 6 years. Spine (Phila Pa 1976). 2003;28(18):2132–2138. doi: 10.1097/01.BRS.0000084627.57308.4A
  2. Klemme WR, Polly DW Jr, Orchowski JR. Hemivertebral excision for congenital scoliosis in very young children. J Pediatr Orthop. 2001;21(6):761–764.
  3. Vissarionov SV, Kokushin DN, Belyanchikov SM, et al. Surgical treatment of congenital deformation of thoracolumbar spine in children. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2013;1(1):10–15. EDN: SJFIBX doi: 10.17816/PTORS1110-15
  4. Mikhailovsky MV, Novikov VV, Vasyura AS, et al. Surgical treatment of congenital scoliosis in patients older than 10 years. Siberian Scientific Medical Journal. 2015;35(5):70–77. (In Russ.) EDN: UMBCIV
  5. Vissarionov SV, Kokushin DN, Kartavenko KA, et al. Surgical treatment of children with congenital deformity of the lumbar and lumbosacral spine. Russian Journal of Spine Surgery. 2012;(3):33–37. EDN: PCCTAL doi: 10.14531/ss2012.3.33-37
  6. Xu W, Yang S, Wu X, et al. Hemivertebra excision with short-segment spinal fusion through combined anterior and posterior approaches for congenital spinal deformities in children. J Pediatr Orthop B. 2010;19:545–550. doi: 10.1097/BPB.0b013e32833cb887.
  7. Vissarionov SV, Kartavenko KA, Golubev KE, et al. Surgical treatment of children with congenital impaired formation of vertebrae in the lumbar spine. Traumatology and Orthopedics of Russia. 2012;(1):89–93. EDN: OWZWKV doi: 10.21823/2311-2905-2012-0-1-108-113
  8. Peng X, Chen L, Zou X. Hemivertebra resection and scoliosis correction by a unilateral posterior approach using single rod and pedicle screw instrumentation in children under 5 years of age. J Pediatr Orthop B. 2011;20:397–403. doi: 10.1097/BPB.0b013e3283492060
  9. Ruf M, Jensen R, Letko L, Harms J. Hemivertebra resection and osteotomies in congenital spine deformity. Spine (Phila Pa 1976). 2009;34:1791–1799. doi: 10.1097/BRS.0b013e3181ab6290.
  10. Gubin AV, Ryabykh SO, Burtsev AV. Retrospective analysis of screw malposition following instrumented correction of thoracic and lumbar spine deformities. Russian Journal of Spine Surgery. 2015;12(1):8–13. EDN: TODHKV doi: 10.14531/ss2015.1.8-13
  11. Makarevich SV. Historical aspects of transpedicular fixation of the spine: literature review. Russian Journal of Spine Surgery. 2018;15(4):95–106. EDN: YZKXYD doi: 10.14531/2018.4.95-106
  12. Riabykh SO, Savin DM, Medvedeva SN, et al. The experience in treatment of the spine neurogenic deformities. Orthopaedic Genius. 2013;(1):87–92. EDN: PWZWSH
  13. Chan CY, Kwan MK, Saw LB. Safety of thoracic pedicle screw application using the funnel technique in Asians: a cadaveric evaluation. Eur Spine J. 2010;19:78–84. doi: 10.1007/s00586-009-1157-8
  14. Vaccaro AR, Regan JJ, Crawford AH, et al., editors. Complications of pediatric and adult spinal surgery. New York: CRC Press; 2004.
  15. Gaines RW Jr. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg Am. 2000;82:1458–1476.
  16. Haid RW Jr, Subach BR, Rodts GE Jr, editors. Advances in spinal stabilization. Karger; 2003. doi: 10.1159/isbn.978-3-318-00856-2
  17. Halm H, Niemeyer T, Link T, et al. Segmental pedicle screw instrumentation in idiopathic thoracolumbar and lumbar scoliosis. Eur Spine J. 2000;9(3):191–197. doi: 10.1007/s005860000139
  18. Li G, Lv G, Passias P, et al. Complications associated with thoracic pedicle screws in spinal deformity. Eur Spine J. 2010;19(9):1576–1584. doi: 10.1007/s00586-010-1316-y
  19. Samdani AF, Ranade A, Sciubba DM, et al. Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make? Eur Spine J. 2010;19(1):91–95. doi: 10.1007/s00586-009-1183-6
  20. Ryabykh SO, Filatov EYu, Savin DM. Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review. Russian Journal of Spine Surgery. 2017;14(1):14–23. EDN: YHTRIJ doi: 10.14531/ss2017.1.14-23
  21. Vissarionov SV. Anatomic-anthropometric basis of transpedicular fixation in children of 1.5–5 years old. Russian Journal of Spine Surgery. 2006;(3):019–023. EDN: IBWQOX doi: 10.14531/ss2006.3.19-23
  22. Ruf M, Harms J. Pedicle screws in 1- and 2-year-old children: technique, complications, and effect on further growth. Spine (Phila Pa 1976). 2002;27(21):E460–E466. doi: 10.1097/00007632-200211010-00019
  23. Patent of the RF N 2701782 / 01.10.19. Vissarionov SV, Baindurashvili AG, Khusainov NO, et al. Method of oriented installation of transpedicular screws in correction of congenital spinal deformity in children with isolated vertebrae formation disorder. (In Russ.) EDN: TWYWAG
  24. Shimizu T, Fujibayashi S, Takemoto M, et al. A multicenter study of reoperations within 30 days of spine surgery. Eur Spine J. 2016;25(3):828–835. doi: 10.1007/s00586-015-4113-9
  25. Pastorelli F, Di Silvestre M, Plasmati R, et al. The prevention of neural complications in the surgical treatment of scoliosis: the role of the neurophysiological intraoperative monitoring. Eur Spine J. 2011;20(Suppl 1):105–114. doi: 10.1007/s00586-011-1756-z
  26. Fan Y, Du J, Zhang J, et al. Comparison of accuracy of pedicle screw insertion among 4 guided technologies in spine surgery. Med Sci Monit. 2017;23:5960–5968. doi: 10.12659/msm.905713
  27. Larson AN, Polly DW, Jr., Guidera KJ, et al. The accuracy of navigation and 3D image-guided placement for the placement of pedicle screws in congenital spine deformity. J Pediatr Orthop. 2012;32(6):e23–e29. doi: 10.1097/BPO.0b013e318263a39e
  28. Azimifar F, Hassani K, Saveh AH, et al. A medium invasiveness multi-level patient’s specific template for pedicle screw placement in the scoliosis surgery. Biomed Eng Online. 2017;16(1):130. doi: 10.1186/s12938-017-0421-0
  29. Abdaliyev SS, Yestay DZh, Vissarionov SV, et al. Computed tomography-guided intraoperative navigation in children with congenital scoliosis versus freehand/fluoroscopy methods. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2023;11(3):307–314. EDN: VFVXNI doi: 10.17816/PTORS473150
  30. Kokushin DN, Vissarionov SV, Baindurashvili AG, et al. The use of guide templates in the surgical treatment of preschool children with congenital scoliosis of thoracic and lumbar localization. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2020;8(3):305–316. EDN: CZKJQK doi: 10.17816/PTORS42000
  31. Kokushin DN, Vissarionov SV, Baindurashvili AG, et al. Comparative analysis of pedicle screw placement in children with congenital scoliosis: freehand technique (in vivo) and guide templates (in vitro). Traumatology and orthopedics of Russia. 2018;24(4):53–63. EDN: YSIIWL doi: 10.21823/2311-2905-2018-24-4-53-63
  32. Kwan MK, Chiu CK, Chan CYW, et al. The use of fluoroscopic guided percutaneous pedicle screws in the upper thoracic spine (T1–T6): is it safe? J Orthop Surg (Hong Kong). 2017;25(2):2309499017722438. doi: 10.1177/2309499017722438
  33. Waschke A, Walter J, Duenisch P, et al. CT-navigation versus fluoroscopy-guided placement of pedicle screws at the thoracolumbar spine: single center experience of 4,500 screws. Eur Spine J. 2013;22(3):654–660. doi: 10.1007/s00586-012-2509-3
  34. Perdomo-Pantoja A, Ishida W, Zygourakis C, et al. Accuracy of current techniques for placement of pedicle screws in the spine: a comprehensive systematic review and meta-analysis of 51,161 screws. World Neurosurg. 2019;126:664–678.e3. doi: 10.1016/j.wneu.2019.02.217
  35. Koktekir E, Ceylan D, Tatarli N, et al. Accuracy of fluoroscopically-assisted pedicle screw placement: analysis of 1,218 screws in 198 patients. Spine (Phila Pa 1976). 2014;14(8):1702–1708. doi: 10.1016/j.spinee.2014.03.044
  36. Amato V, Giannachi L, Irace C, et al. Accuracy of pedicle screw placement in the lumbosacral spine using conventional technique: computed tomography postoperative assessment in 102 consecutive patients. J Neurosurg Spine. 2010;12(3):306–313. doi: 10.3171/2009.9.SPINE09261
  37. Azimifar F, Hassani K, Saveh AH, et al. A medium invasiveness multi-level patient’s specific template for pedicle screw placement in the scoliosis surgery. Biomed Eng Online. 2017;16(1):130. doi: 10.1186/s12938-017-0421-0
  38. Gross BC, Erkal JL, Lockwood SY, et al. Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. Anal Chem. 2014;86(7):3240–3253. doi: 10.1021/ac403397r
  39. Hull C, Feygin M, Baron Y, et al. Rapid prototyping: current technology and future potential. Rapid Prototyping Journal. 1995;1(1):11–19.
  40. Bagaturija GO. Prospects for the use of 3D-printing when planning surgery. Medicine: theory and practice. 2016;1(1):26–35. EDN: ZCUFHP
  41. Berry E, Cuppone M, Porada S, et al. Personalised image-based templates for intra-operative guidance. Proc Inst Mech Eng H. 2005;219(2):111–118. doi: 10.1243/095441105X9273
  42. Takemoto M, Fujibayashi S, Ota E, et al. Additive manufactured patient-specific titanium templates for thoracic pedicle screw placement: novel design with reduced contact area. Eur Spine J. 2016;25(6):1698–1705. doi: 10.1007/s00586-015-3908-z
  43. Chen H, Guo K, Yang H, et al. Thoracic pedicle screw placement guide plate produced by three-dimensional (3-D) laser printing. Med Sci Monit. 2016;22:1682–1686. doi: 10.12659/msm.896148
  44. Goffin J, Van Brussel K, Martens K, et al. Three-dimensional computed tomography-based, personalized drill guide for posterior cervical stabilization at C1-C2. Spine (Phila Pa 1976). 2001;26(12):1343–1347. doi: 10.1097/00007632-200106150-00017
  45. Lu S, Xu YQ, Lu WW, et al. A novel patient-specific navigational template for cervical pedicle screw placement. Spine (Phila Pa 1976). 2009;34(26):E959–E966. doi: 10.1097/BRS.0b013e3181c09985
  46. Putzier M, Strube P, Cecchinato R, et al. A new navigational tool for pedicle screw placement in patients with severe scoliosis: a pilot study to prove feasibility, accuracy, and identify operative challenges. Clin Spine Surg. 2017;30(4):E430–E439. doi: 10.1097/BSD.0000000000000220
  47. Kovalenko RA, Ptashnikov DA, Cherebillo VYu, Kashin VA. Comparison of the accuracy and safety of pedicle screw placement in thoracic spine between 3D printed navigation templates and free hand technique. Traumatology and Orthopedics of Russia. 2020;26(3):49–60. EDN: UENTKA doi: 10.21823/2311-2905-2020-26-3-49-60
  48. Cecchinato R, Berjano P, Zerbi A, et al. Pedicle screw insertion with patient-specific 3D-printed guides based on low-dose CT scan is more accurate than free-hand technique in spine deformity patients: a prospective, randomized clinical trial. Eur Spine J. 2019;28(7):1712–1723. doi: 10.1007/s00586-019-05978-3
  49. Pan Y, Lü GH, Kuang L, et al. Accuracy of thoracic pedicle screw placement in adolescent patients with severe spinal deformities: a retrospective study comparing drill guide template with free-hand technique. Eur Spine J. 2018;27(2):319–326. doi: 10.1007/s00586-017-5410-2
  50. Cao J, Zhang X, Liu H, et al. 3D printed templates improve the accuracy and safety of pedicle screw placement in the treatment of pediatric congenital scoliosis. BMC Musculoskelet Disord. 2021;22(1):1014. doi: 10.1186/s12891-021-04892-4
  51. Vissarionov SV, Kokushin DN, Khusainov NO, et al. Comparing the treatment of congenital spine deformity using freehand techniques in vivo and 3D-printed templates in vitro (prospective-retrospective single-center analytical single-cohort study). Adv Ther. 2020;37(1):402–419. doi: 10.1007/s12325-019-01152-9

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