Release date: 2018-06-12 Recently, Dean Hao Dingjun of Xi'an Honghui Hospital and his team took 14 hours to successfully implement the first thoracic 11-waist and 1 three-segment 3D printed artificial vertebral body replacement for a 69-year-old female patient. Ms. Wang, 69, from Pucheng, had just completed radical mastectomy at the beginning of this year. She thought that she could eliminate her health risks and enjoy her life. Unexpectedly, there was a back pain in the third week after surgery. At first, Ms. Wang thought that she had twisted her waist and was rehabilitated at home. After five or six days, the pain became more and more serious. Ms. Wang couldn’t move in bed at all. It was very difficult to turn over, and it was very painful and sweaty. The pain made her lose the confidence and hope of life. Accompanied by her family, Ms. Wang had a local examination. The results showed that the breast cancer had a spinal metastasis. This means that Ms. Wang’s condition has entered the late stage of breast cancer, and the hope of cure is very slim. Ms. Wang’s daughter told the reporter that she couldn’t move if she was lying on the bed every day. She could only climb and climb. Her heart was very uncomfortable. The mother even told her daughter that it would be better to die than to endure the pain of suffering for a long time. Ms. Wang’s daughter felt that no matter how long her mother’s life was, she and her family wanted her mother to live with dignity, live happily, live happily, and do her best to help her mother walk normally. Ms. Wang’s family, after many inquiries and comparisons, finally decided to take Ms. Wang to the Xi’an Red Cross Hospital. Spinal surgery degeneration and Ms. He Simin, the chief physician of the tumor area, received Ms. Wang. After completing the relevant examination, she was diagnosed as “multi-segmental metastases of thoracolumbar spineâ€. Dean Hao Dingjun of the Red Cross Hospital led a multidisciplinary consultation with the degeneration of the spine and the tumor ward and related disciplines. In response to Ms. Wang’s condition, she discussed the case from intraoperative hemorrhage, surgical approach, complete resection of the lesion, reconstruction of spinal stability, and perioperative management, and finally determined the surgical plan and surgical risk response plan – the simple three-stage posterior segment Thoracolumbar tumor lesions were fully cut + 3D printed artificial vertebral body implantation. The operation was performed by the president of Hao Dingjun, the director of Shanle Group, the chief physician of He Simin, the deputy chief physician of Wang Wentao, and the attending physician of Wang Wei. In the operating room, the doctors were able to remove the lesions in an orderly manner. Outside the operating room, Ms. Wang’s family was nervous. Spinal surgery degeneration and the director of the tumor area, single music group told reporters that the difficulty of this operation is mainly reflected in the following points: First, there is more bleeding, and patients with metastatic adenocarcinoma have more intraoperative bleeding. Five pairs of segmental arterial embolization were performed before surgery to reduce intraoperative bleeding. Second, the risk is large, simple posterior surgery, the tumor is 'smashed off' from the posterior, and the large blood vessels before the vertebral body and the spinal cord behind the vertebral body are protected. Therefore, intraoperative operation under neurophysiological monitoring, if When a neurophysiological abnormality occurs, measures are taken in time; Third, the peeling is difficult, the thoracolumbar segment of the multi-segment lesions are completely cut, the soft tissue of the diaphragm and the psoas muscle are attached in front of the site, and the peeling is difficult. In addition, the nerve root of the waist 1 cannot be sacrificed, otherwise the patient's thigh is postoperative. It can't be lifted up, and it should be carefully protected during the operation; Fourth, the trauma is large, multiple vertebral body resection, surgical trauma, perioperative management difficulties, need multi-disciplinary teamwork to complete; Fifth, it is difficult to reconstruct, and the thoracolumbar segment has a large degree of activity. Therefore, the reconstruction stability is more demanding. The traditional titanium mesh placement span is too long, and there will be complications such as looseness and collapse in the long-term. Therefore, the 3D printed artificial vertebral body is used, and the upper and lower segments are extended and fixed. Two methods are used to solve the problem of spinal stability. . On the fifth day after surgery, Ms. Wang was able to walk down the ground under the help of her family. One week after surgery, she only needs to borrow lightly, and she can take several steps. Half a month after surgery, she was able to walk the armrests for dozens of steps. It is understood that the artificial vertebral body replacement in the third section of the Red Cross Hospital is the first case in the northwest. During the discussion of the surgical cases, a number of departments including cardiovascular medicine, respiratory digestive medicine, hematology, general surgery and urology, interventional radiology, etc. Wisdom, the surgical team broke through a lot of difficulties, and with the efforts of medical staff and the cooperation of family members, it finally ushered in the good effect of Ms. Wang's "right walk". Source: Western Network Digital Pathology Slide Scanner DIAN Biotech offers small-to-large routine pathology laboratories high-quality and high-speed digital scanning solution, from low-to-high throughput applications. 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