. 2022 Apr 16;14(4):e24185.
doi: 10.7759/cureus.24185.
eCollection 2022 Apr.
Affiliations
Affiliations
- 1 Department of Neurosurgery, Peoples’ Friendship University of Russia, Moscow, RUS.
- 2 Division of Spine Surgery, Central Clinical Hospital of the Russian Academy of Sciences, Moscow, RUS.
- 3 Department of Neurosurgery, Hospital Regional Alejandro Cabral, San Juan de la Maguana, DOM.
- 4 Department of Neurosurgery, Charité – Universitätsmedizin Berlin, Berlin, DEU.
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Manuel de Jesus Encarnacion Ramirez et al.
Cureus.
.
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. 2022 Apr 16;14(4):e24185.
doi: 10.7759/cureus.24185.
eCollection 2022 Apr.
Affiliations
- 1 Department of Neurosurgery, Peoples’ Friendship University of Russia, Moscow, RUS.
- 2 Division of Spine Surgery, Central Clinical Hospital of the Russian Academy of Sciences, Moscow, RUS.
- 3 Department of Neurosurgery, Hospital Regional Alejandro Cabral, San Juan de la Maguana, DOM.
- 4 Department of Neurosurgery, Charité – Universitätsmedizin Berlin, Berlin, DEU.
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Abstract
The authors developed a low-cost surgical retractor to improve surgeon’s comfort and facilitate pedicle screw insertion in transforaminal lumbar interbody fusion surgery. The retractor was designed using three-dimensional (3D) modeling software and produced with the help of a 3D printer. It was attached to a mechanic retractor arm. The retractor was anchored to the transverse process through a concave notch at its tip, visualizing the junction between the transverse process and the superior articular process. The gutter-shaped body of the retractor helped stay within the ideal trajectory during screw insertion. The retractor was tested in 20 patients undergoing transforaminal lumbar interbody fusion with satisfactory results. Future models will be generated suitable for surgery of the cervical and thoracic spine.
Keywords:
3d modeling; 3d printing; low cost; lumbar spine; retractor; tlif.
Copyright © 2022, Ramirez et al.
Conflict of interest statement
The authors have declared that no competing interests exist.
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