Surgical Planning of Sacral Nerve Stimulation Procedure in Presence of Sacral Anomalies by Using Personalized Polymeric Prototypes Obtained with Additive Manufacturing Techniques

Polymers
Inés Rubio-Pérez, Andrés Díaz Lantada

Abstract

Sacral nerve stimulation or sacral neuromodulation involves the implantation of a stimulating electrode lead through the sacral foramina. In patients with anatomical sacral anomalies, it can constitute a challenging procedure due to a lack of common reference points present in the normal anatomy. In this study, we present an innovative application of additive manufacturing for the planning of sacral nerve stimulation techniques and related surgical procedures in complex cases, and we verify that the use of personalized patient models may help to manage the presence of sacral anomalies. The use of two alternative additive manufacturing technologies working with thermoplastic and thermoset polymers, including fused deposition modeling as low-cost alternative and laser stereolithography as industrial gold standard, is compared in terms of viability, precision and overall production costs. They pay special attention to fidelity in terms of the bone microstructure reconstruction, which is necessary for adequately planning electrode insertion. Advantages and limitations of the alternative approaches are discussed and ideas for future developments and for solving current challenges are presented.

References

Oct 11, 2007·Interactive Cardiovascular and Thoracic Surgery·Stephan JacobsVolkmar Falk
Dec 5, 2008·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·L CioccaR Scotti
Nov 6, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·David BakhosEmmanuel Lescanne
Apr 25, 2012·Annual Review of Biomedical Engineering·Andrés Díaz Lantada, Pilar Lafont Morgado
Jul 10, 2012·Magnetic Resonance Imaging·Andriy FedorovRon Kikinis
Aug 22, 2013·Annals of Biomedical Engineering·Olivier CartiauxPierre-Louis Docquier
Jun 24, 2015·Annals of Biomedical Engineering·David GonzálezFrancisco Chinesta
Dec 22, 2015·The Spine Journal : Official Journal of the North American Spine Society·Daniel MendelsohnJohn Street
Jun 14, 2016·Annals of Biomedical Engineering·Ethan L NybergWarren L Grayson
Jul 5, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J CastilloA Vázquez-Barquero
Nov 11, 2016·Annals of Biomedical Engineering·Fabian AdamsPeer Fischer
Oct 5, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Klaus E MatzelStefan de Wachter
Oct 24, 2017·Journal of Spine Surgery·Ben WilcoxKevin Phan
Feb 7, 2018·Journal of Medical Systems·Fernando BlayaJuan Antonio Juanes
Mar 28, 2018·Journal of Clinical Medicine Research·Ngoc Hieu TranNatthamet Wongsirichat
Apr 19, 2019·Journal of Clinical Medicine·Zhonghua SunChai Hong Yeong

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Citations

Nov 1, 2020·Trends in Pharmacological Sciences·Khalil B RamadiGiovanni Traverso

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Methods Mentioned

BETA
X-ray

Software Mentioned

Cura
TeraRecon
Lightyear
3D Slicer
3D
Slicer
DICOM

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