中国实用神经疾病杂志2024，Vol.27Issue(3)：311-319,9.DOI:10.12083/SYSJ.231422
3D打印导航模板与计算机导航系统在辅助椎弓根螺钉置入准确性与安全性的Meta分析
Accuracy and safety of 3D printed navigation template and computer navigation system for vertebral pedicle screw placement:a meta-analysis
摘要
Abstract
Objective To systematically evaluate the clinical efficacy and safety of 3D printed navigation template and computer navigation system in pedicle screw placement.Methods This paper systematically retrieved the clinical controlled trial articles about 3D printed navigation template and computer navigation system in pedicle screw placement from CNKI,WanFang and VIP databases,PubMed,the Cochrane Library and Web of Science.The retrieval period was from the establishment of the database to November 2022.According to the inclusion and exclusion criteria,two researchers conducted literature screening,data extraction and quality evaluation.The obtained outcome indicators were analyzed using RevMan 5.3.Results Seven studies were included in the meta-analysis,of which,the quality of three RCTs was assessed as medium risk of bias,and the NOS scores of four retrospective studies were all greater than 8 points,indicating that they were high-quality articles.A total of 346 patients were included in the study,including 178 cases in the 3D printing group and 168 cases in the computer navigation group.Meta-analysis results showed that in the 3D printing group and the computer navigation group,the operation time(MD=-41.10,95%CI:-74.54 to-7.67,P<0.05),mean staple placement(MD=-4.92,95%CI:-8.50 to-1.35,P<0.05)and accuracy of pedicle screw placement(RR=1.09,95%CI:1.04 to 1.15,P=0.001),but there were no significant differences in the intraoperative amount of bleeding(MD=-10.97,95%CI:-29.38 to 7.44,P=0.24),the number of intraoperative fluoroscopy(MD=0.81,95%CI:-0.85 to 2.46,P=0.34),the JOA score was performed 6 months after operation(MD=0.10,95%CI:-0.50 to 0.70,P=0.73),the VAS score was performed 6 months after operation(MD=-0.01,95%CI:-0.16 to 0.13,P= 0.84),and postoperative complication rate(RR=0.81,95%CI:0.10 to 6.52,P=0.84).Conclusion Compared with the pedicle screw placement by the computer navigation system,the accuracy of pedicle screw placement by the 3D printing navigation template technology is higher,the operation time and the average screw placement time are shorter,and the safety is higher.However,the number and quality of articles included in the meta-analysis were limited,and large-sample,high-quality,and multi-center randomized controlled trial was still needed to prove the accuracy of this conclusion.关键词
脊柱/3D打印/计算机导航系统/椎弓根螺钉/Meta分析Key words
Spine/3D printing/Computer navigation system/Pedicle screws/Meta-analysis分类
医药卫生引用本文复制引用
王一迪,范利娟,刘永辉,王向阳,崔宏勋..3D打印导航模板与计算机导航系统在辅助椎弓根螺钉置入准确性与安全性的Meta分析[J].中国实用神经疾病杂志,2024,27(3):311-319,9.基金项目
全国中医药创新骨干人才项目(编号:国中医人教[2019]128号) （编号:国中医人教[2019]128号）
河南省首批中医药拔尖人才项目(编号:豫中医科教[2018]25号) （编号:豫中医科教[2018]25号）
