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SELECTIVE LASER SINTERING IN THE PRE-OPERATIVE PLANNING OF COMPLEX PELVIC SURGERY IN CHILDREN



Abstract

Aim: Advances in digital imaging have allowed three dimensional reconstructions to be derived from CT images which greatly improve understanding of complex deformities. Selective laser sintering (SLS) is used in the industrial setting to manufacture prototype models from Computer Aided Designs (CAD). This technology can be utilised to convert CT images into accurate three dimensional physical models of the human bony anatomy. This SLS modelling was used as an aid in the pre-operative planning of complex pelvic surgery.

Materials and Methods: Standard pre-operative X-ray of the pelvis and a CT scan was undertaken. Using MIMICS software and selective laser sintering, models of these deformities could be made. The cases included bladder exstrophy and a complex developmental dysplasia of the hip with associated femoral head dislocation. The cost of this was comparable with a CT scan or MRI scan.

Conclusion: These models provide invaluable visual and tactile information to the operating surgeon, accurately demonstrating the abnormal anatomy in an easily comprehensible manner. They allow estimation of the magnitude and degree of corrections necessary and evaluation of bony deficiencies.

The abstracts were prepared by the Editorial Secretary Robin W Paton. Correspondence should be addressed to him c/o BOA, 35–43 Lincoln’s Inn Field, London WC2A 3PN.