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Sacroiliac fixation with the aid of a personalized navigational guide in a patient with Currarino syndrome [Elektronski vir]Mohar, Janez, 1979-A sacral agenesia with insufficient bone stalk can pose a surgical problem of implant positioning when performing a spinal stabilization procedure. Additive Manufacturing Technology (AMT) has been ... increasingly used in the recent decade in spine surgery in complex spinal pathology. A case of an adult female with a Currarino Syndrome (CS) is presented in which an instrumented lumbosacral fusion with sacroiliac (SI) fixation was indicated. The technical challenge of placing pedicle screws in an anomalous sacrum and iliac screws in a disproportionate pelvis was overcome by using a personalized guide for cannulating the bone, produced with the use of AMT. The patient%s Computed Tomography (CT) images of sacrum and pelvis were transferred to segmentation and preoperative planning software. The optimal position and dimension of screws were virtually planned in a three dimensional (3D) environment. The planned screw%s entry point and trajectory formed a basis for guide design and its final production with the use of selective laser sintering. During the operation, safe, accurate, and fast placement of sacral pedicle screws and iliac screws of optimum diameter and length was performed with an excellent clinical and radiological result. The use of AMT or 3D printing in a patient with sacral agenesia has never been previously described.Source: Journal of case report & imaging [Elektronski vir]. - ISSN 2565-6082 (Vol. 4, iss. 1, 2020, str. 1-5)Type of material - e-article ; adult, seriousPublish date - 2020Language - englishCOBISS.SI-ID - 13855235
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Mohar, Janez, 1979- | 26204 |
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