
Posterior Cranial Vault Distraction: A Case Study
PARTNER
Type of work
Precision surgery
technology
Overview
Leveraging 3D Printing and Virtualization to Improve PCVD Surgery and Patient Outcomes
Craniosynostosis, a congenital condition involving premature skull suture fusion, can cause increased intracranial pressure and skull deformities. Posterior Cranial Vault Distraction (PCVD) is a surgical method to treat craniosynostosis, but is associated with complications. 3D Printing and 3D Virtualization Technologies offer solutions to improve PCVD surgical workflows and enhance patient outcomes. The objective of this report is to incorporate and evaluate 3D Printing and 3D Virtualization Technologies into PCVD.
Research & Design
Reducing Time, Costs, and Improving Outcomes
A 7-month-old patient with craniosynostosis underwent PCVD that included virtual surgical planning and 3D printed patient-specific guides. Detailed anatomical modeling and advanced surgical planning processes were employed to create patient-specific cutting templates and surgical simulations. We documented procedural length and calculated labor and operating costs associated with all 3D Printing and 3D Virtualization Technologies and the surgery. Post-surgical evaluation included a survey with the lead surgeon reflecting on the impact of 3D solutions on application, communication, accuracy, efficiency, patient outcomes, and satisfaction.
Procedural duration was 225 minutes. The surgeon found virtual planning, 3D modeling, and patient-specific guides to be highly beneficial and time efficient. Procedural time was significantly reduced compared to PVCD surgeries that did not use 3D solutions. The surgeon also reported decreased blood loss and medication usage during surgery, was very satisfied with the solutions, and emphasized their value in enhancing precision and efficiency in the surgical workflow. The total cost of implementing 3D printing solutions was CAD $1,532.43. 3D printed material costs were $436.60 and labor costs were $1,870.81. Total operating room costs were CAD $21,895.33. Operating room personnel costs were CAD $4,985.42 and operating room operating costs were CAD $14,602.50.
Potential Impact
Maximizing Surgical Efficiency and Patient Care
The integration of 3D printing solutions into a PCVD surgical workflow demonstrated significant procedural and clinical benefits, including enhanced surgeon understanding, improved team consensus, and reduced intraoperative time and resource use. Cost analysis revealed the modest expense of these technologies is offset by their capacity to decrease operating room time by as little as 10%, making them cost-effective. While further research is required to explore long-term patient outcomes, broader applicability, and detailed cost analyses, these findings underscore the potential of 3D printing to improve patient care and surgical efficiency, advocating for its integration into routine workflows.