3D打印模型在先天性高肩胛症儿童治疗中的应用

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Abstract Objective To observe the application of 3D printing bilateral scapula model in the treatment of Sprengel deformity in children.Methods From April 2011 to February 2016，there were 10 cases of Sprengel deformity including 3 boys and 7 girls.The left side was affected in 4 cases，right side was affected in 6 cases.According to Cavendish classification，2 cases were grade Ⅱ，4 cases were grade Ⅲ，2 cases were grade Ⅳ.8 children were underwent bilateral scapula 3D printing model.2 children underwent bilateral scapula and clavicle，cervical vertebra，thoracic full print.All children underwent Woodward surgery.Results Preoperative ipsilateral scapula morphology changed obviously in 6 cases.The shapes of affected scapula were regular with the contralateral sides in 4 cases.4 cases had omovertebral bones .All cases were followed from 6 months to 5 years 10 months.According to Cavendish classification，6 cases were grade I，4 cases were grade Ⅱ postoperatively.6 cases were performed 3D printing model again.The height and width of the scapula increased，but there was no significant change in the gross morphology.Conclusion 3D model can display the differences about the ipsilateral scapula and the normal side directly.It is helpful in the preoperative design.The 3D printing scapula model can display the relationship between the affected scapula and the surrounding bones directly in space，which is more helpful in the preoperative design.

Key words： three-dimensional printing model sprengel deformity children

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