How is 3D imaging impacting orthopedic treatments?
2013; Volume: 5; Issue: 6 Linguagem: Inglês
10.2217/iim.13.62
ISSN1755-5205
AutoresAurélien Courvoisier, Jacques Griffet,
Tópico(s)Spine and Intervertebral Disc Pathology
ResumoWe have not experienced great evolutions in the field of orthopedic surgery during the last decade. We have reached a threshold in terms of devices such as joint replacements, screws and nails. However, the business continues and each orthopedic brand claims to achieve better results than the others. Objectively, designs are equivalents and we no longer are surprised when opening the boxes of an ancillary; maybe companies do not want surprises either and are slowing down their RD we need help in making the right decision and evaluating what we do. From my point of view, 3D imaging in the standing position is the main evolution that will impact planning and e valuation of orthopedics treatments. Biplanar stereoradiography was initially developed for analysis of spine deformities. In the early 1980s, Perdriolle [1], Graf and Dubousset [2] first described adolescent idiopathic scoliosis (AIS) as a 3D deformity. Then clinicians and engineers worked hand in hand to improve stereoradiography imaging systems in the standing position. But we had to wait for the 21st century and the work of Georges Charpak (who received the 1992 Nobel Prize in Physics) to reach technologies such as EOS (EOS-imaging). EOS is a low-dose imaging system that performs simultaneous full-spine or full-body antero-posterior (AP) and lateral views. With special software, a 3D reconstruction of the spine and lower limbs is possible. 3D is available routinely, but now that we have 3D, we have to learn how to use it. It is a very new way to see the body from the inside, and since every orthopedic surgeon has learned their profession on 2D x-rays, we need to build novel references.
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