3D打印个性化人工椎体的应用现状和发展趋势(开放获取)
作者:
作者单位:

1.天津市天津医院骨与软组织肿瘤科,天津 300202 ;2.国家药品监督管理局医疗器械技术审评中心,北京 102600

作者简介:

刘金伟,主治医师,研究方向:骨肿瘤,(电子信箱)doctorljw@163.com

通讯作者:

中图分类号:

R687

基金项目:

天津市卫生健康委员会科技项目(编号:TJWJ2024MS027);天津市天津医院科技基金项目(编号:TJYY2401)


Application status and development trend of 3D printed personalized artificial vertebral body
Author:
Affiliation:

1.Department of Bone and Soft Tissue Oncology, Tianjin Hospital,Tianjin 300202 , China ; 2.Technical Evaluation Center for Medical Devices, China Medical Products Administration, Beijing 102600 , China

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    摘要:

    3D 打印技术的发展为个性化人工椎体的创新和临床应用提供了基础。3D 打印人工椎体可精准重建,能达到即刻稳定;人工椎体远、近侧端接触面与椎体的终板骨表面骨小梁孔隙结构可以达到骨长入,最终获得永久稳定性。基于 Web of sci- ence 高级检索功能,检索到 1990 年—2023 年发表 3D 打印骨科医疗器械 7 782 篇文献,从 2012 年开始爆发性增长,2019 年— 2020 年增长量最大。用可视化软件进行文献可视化分析显示, 中国 (30.7%) 发文量遥遥领先,位居世界第一,美国 (20.7%),位居第二,中国和美国总的发文量占世界发文量的一半以上。医工交互是个性化 3D 打印医疗器械不同于传统医疗器械的最突出特点,医生团队需要掌握 3D 打印相关原理和工艺、提出植入物设计的要求、实施功能适配性和解剖匹配性必要的验证。个性化人工椎体可以有定制式和患者匹配两种类型,人工椎体的组成分为椎体主体及辅助装置两部分,辅助固定装置依照植入物设计的实际需求添加。功能性 3D 打印医疗器械通过表面改性负载生长因子、抗肿瘤药物、抗结核药物等是将来的发展方向之一。

    Abstract:

    Development of 3D printing technology provides the basis for the innovation and clinical application of personalized artificial vertebrae. 3D printed artificial vertebral body can be accurately reconstructed and achieve immediate stability. With pore structure of the distal and proximal contact surfaces of the artificial vertebral body like trabecular bone, the endplate of the vertebral body might achieve bone ingrowth and finally obtain permanent stability. Based on the advanced retrieval function of Web of science, 7 782 literatures on 3D printed orthopedic medical devices published from 1990 to 2023 were retrieved, with explosive growth beginning in 2012 and the largest growth from 2019 to 2020. In term of literature visualization analysis, China (30.7%) was far ahead and ranked first in the world, while the United States (20.7%) ranked second. The total number of articles published by China and the United States accounts for more than half of the world's total. Medical interaction is the most prominent feature of personalized 3D printed medical devices different from traditional medical devices, and the doctor team should master the relevant principles and processes of 3D printing, propose the requirements of implant design, and implement the necessary verification of functional suitability and anatomical matching. Personalized artificial vertebra can be customized and patient-matched. The artificial vertebra is divided into two parts: the main body of the vertebra and the auxiliary device. The auxiliary fixation devices are added according to the actual needs of the implant design. Functional 3D printed medical devices loaded with growth factors, anti-tumor drugs, anti-tuberculosis drugs through surface modification is one of the future development directions.

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引用本文

刘金伟,张净宇,刘艳成,等. 3D打印个性化人工椎体的应用现状和发展趋势(开放获取)[J]. 中国矫形外科杂志, 2025, 33 (14): 1295-1302. DOI:10.20184/j. cnki. Issn1005-8478.12009A.
LIU Jin-wei, ZHANG Jingyu, LIU Yan-cheng, et al. Application status and development trend of 3D printed personalized artificial vertebral body[J]. Orthopedic Journal of China , 2025, 33 (14): 1295-1302. DOI:10.20184/j. cnki. Issn1005-8478.12009A.

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  • 收稿日期:February 13,2025
  • 最后修改日期:April 09,2025
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  • 在线发布日期: July 21,2025
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