Can you believe that a deformed spine could be completely reconstructed using 3D printing technology? 3D printing isn't just about creating objects; it's revolutionizing medicine by providing personalized healthcare solutions tailored to each patient.
 
Zoé Maldonado, a 14-year-old girl, has been living with a severe congenital scoliosis, significantly impacting her daily life. Is there a way to help Zoé regain a healthy spine and a normal life? The answer lies in the medical revolution, where 3D printing is not just a tool, but a beacon of hope for patients like Zoé
 
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Zoé and her rare congenital scoliosis

Zoé Maldonado, a 14-year-old girl, has been battling severe congenital scoliosis since a young age. This condition has caused her spine to curve abnormally, leading to numerous complications. Zoé experiences chronic back pain, limited mobility, and struggles to maintain an upright posture on a daily basis

scoliosis treatment with 3D printing

3D-printed anatomical model

Not only did the condition affect her physical health, but it also took a significant toll on Zoé's mental well-being. She often felt self-conscious about her appearance and struggled to fit in with her peers. Participating in sports or even simple activities like sitting for long periods became increasingly difficult

scoliosis treatment with 3D printing

After eight unsuccessful surgeries, Zoé needed a new intervention to restore her lung capacity, which had been significantly reduced due to the spinal curvature. The curvature was so severe that her lungs could no longer function properly and she required constant oxygen supplementation

Design and simulate a 3D model of Zoé's spine

As Zoé's condition worsened, the Rotary Club of Florida Satellite and Dr. Vilchis sought a cutting-edge technology that could minimize surgical risks. They turned to Materialise Mimics Innovation Suite to create an accurate 3D model of Zoé's deformed spine in the shortest possible time. Zoé underwent a CT scan, and the 2D medical images were transformed into a vivid 3D model using Mimics

scoliosis treatment with 3D printing

The STL mesh of the vertebra is ready for finite element analysis (FEA)

Through intricate image processing, the 3D simulation software reconstructed every minute detail of Zoé's spine, from the curved vertebrae to the surrounding nerves. Unnecessary details were removed, highlighting critical areas and adjusting the scale to match real-world dimensions

scoliosis treatment with 3D printing

Zoé’s spine reconstruction using Mimics Medical for preoperative planning

Subsequently, the medical team 3D printed a replica of Zoé's spine using Stratasys PolyJet technology, a process that solidifies plastic using UV light to create extremely detailed and accurate parts. This model enabled surgeons to examine Zoé's spine from every angle, precisely measure various parameters, and meticulously plan the surgery

scoliosis treatment with 3D printing

Stratasys 3D-printed anatomical model

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A groundbreaking surgery using 3D printing technology

Dr. Vilchis emphasized the crucial role of the 3D model in the surgery. Thanks to this model, the surgeries were exceptionally successful, particularly the second one. The first surgery, involving the placement of screws and rods, was completed quickly and flawlessly, reducing the operating time by 40%

scoliosis treatment with 3D printing

Zoé's second surgery posed a significant challenge for the medical team. Removing the vertebrae to correct the curvature required utmost precision, as any error could have had severe consequences. However, a critical situation arose during the procedure when the spinal cord ceased functioning, risking the patient's mobility. Relying on the 3D model, the doctors made a swift and accurate decision, successfully saving the young girl's life

scoliosis treatment with 3D printing

Zoé's family and Dr. Vilchis' medical team

The success of this surgery not only brought hope to Zoé but also opened up new possibilities in the treatment of spinal disorders. With the support of the Rotary Club of Florida Satellite, 3D technology will be increasingly accessible, providing hope for countless other patients

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The application of 3D printing technology in medicine

The application of 3D printing technology in medicine, particularly in surgery, is revolutionizing patient care. Zoé's surgery is a prime example of the immense potential of this technology. However, to fully realize the benefits of 3D printing, continued research, development, and addressing existing challenges are essential

Advantages:

  • High Level of Personalization: Each patient has a unique anatomical structure. 3D printing technology allows for the creation of highly accurate 3D anatomical models, enabling surgeons to optimally plan and personalize surgical procedures for individual patients.
  • Increased Precision: 3D models provide a detailed map of the surgical site, allowing surgeons to perform procedures with greater accuracy and minimize risks.
  • Reduced Surgical Planning Time: Advanced 3D modeling software, such as Materialise Mimics, enables rapid and detailed preparation of 3D anatomical models, accelerating the diagnostic and surgical planning processes.
  • Shorter Surgery Time: Thorough preparation based on 3D models can significantly reduce surgery time.
  • Reduced Recovery Time: More precise and less invasive surgeries often lead to faster patient recovery.
  • New Possibilities in Surgery: 3D printing technology enables the creation of customized surgical instruments, artificial implants, and even artificial tissues and organs in the future

scoliosis treatment with 3D printing

Patient-specific 3D-printed anatomical model

Disadvantages:

  • High Cost: Currently, the cost of 3D design software, medical 3D printers, and printing materials is still quite high, making it difficult for many medical facilities to access this technology.
  • Limited Materials: Biological 3D printing materials need to meet stringent requirements in terms of biocompatibility, non-allergenicity, non-infection, and durability. Finding and producing such materials is still limited.
  • Legal Regulations: The application of 3D printing technology in medicine requires strict compliance with legal regulations regarding product quality, safety, and efficacy, creating certain barriers to the development and application of the technology.

Practical Applications:

Creating detailed 3D anatomical models:

scoliosis treatment with 3D printing

  • Purpose: Doctors and medical students can create 3D models of patients to better visualize the anatomical structure of the human body (especially in complex cases, tumors), thereby enabling detailed and accurate surgical planning
  • Applications: Orthopedic surgery (joint replacement, fracture repair, and spinal disorders), Cardiovascular surgery (heart, blood vessels), Neurosurgery, Oral and maxillofacial surgery (orthodontics, dental prosthetics),...

Fabrication of custom surgical instruments

scoliosis treatment with 3D printing

  • Purpose: To create surgical instruments for complex and challenging surgeries, or for patients with unique anatomical structures, tailored to specific cases, thereby increasing the precision and efficacy of surgery
  • Applications: Instruments for tissue fixation, guiding tubes, or creating spaces during surgery

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Creating implant models

  • Purpose: To create customized implants for each patient, enhancing biocompatibility and reducing the risk of rejection
  • Applications: Bone grafting, dental implants (crowns, bridges, custom implants), cartilage grafting,...

scoliosis treatment with 3D printing

Bioprinting

  • Purpose: To create artificial tissues and organs to replace damaged or diseased tissues and organs.
  • Applications: Printing skin (artificial skin grafts for wound healing and burns), printing cardiac tissues (for treating heart diseases), printing small organs (ears, nose, cartilage),...

scoliosis treatment with 3D printing

With the continuous development of technology, 3D printing promises to bring about many breakthroughs in the medical field. In the future, we can expect to see the emergence of 3D-printed artificial organs and more personalized treatment methods.

Vietnam, with its great potential for development, can fully become a leading center for research and application of 3D printing technology in the medical field in the region. Investing in research and development of this technology not only helps improve the quality of treatment for patients but also contributes to the development of the country's healthcare industry.

Source: Surgery Made Possible on “Inoperable” Spine Condition Thanks to 3D Technology


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