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Teenager can walk again thanks to Dutch 3D printed spinal implant

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Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#21

How durable are things like this? I know virtually nothing about 3D printing. How tough can items be made?

It is most likely made of welded titanium particles as others point out.

Imagine a thin layer of titanium dust. Then shine a laser on the points where you want to weld. When done, add another layer over it and repeat.

Or imagine a nozzle which sprays titanium dust. Directly after the nozzle there is a focused laser point. When the dust goes through the laser it welds together. So when you do this close to a titanium surface you can add more titanium to it.

And there are other methods for 3D printing metal. But most of them are just advanced welding techniques.

Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#23
post #5

This is pretty awesome. And sure, right now it's limited to high end tech at the bleeding edge of medicine, but I fully hope this will inspire the current gen owners of glowforges, makerbots, xcarves, and all of their off-brand alternatives to begin making over-engineered, novel, and interesting finger splints or Band-Aids or other diy-friendly med tech.

I have a friend whose son was born with a partial hand. They were able to use 3D printing to make a prosthetic that was cheap enough they could make new ones as he grew. IIRC, they could do themes such as iron man for the prosthetic.

Do they have photos, video or info to share? Would be really interesting to see it working, sounds awesome.

Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#24
post #12

Earlier quoted context omitted.

The article says it’s titanium This is just “manufacturing” which has little resemblance to the consumer makerbot products

Hmm sure but it’s still 3D printing? It’s hard to imagine a conventional CNC machine doing this. But then again I know nothing about CNC machines.

Look up arcam.

Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#25
post #2

Question : Why did the patients ASIA assessment improve? Was their impairment caused by temporary nerve impingement that was alleviated once the mechanical burden of the spinal collapse was taken care of? Neat tech.

Not a doctor, haven't read the paper, but had many ASIA assessments before, during and after nerve damage in my spine that was rectified by draining a load of Step B that had formed a little pool party in there (yeah, I know...)

My short take on this, is that even a tiny amount of impingement can have a massive impact on ASIA scores.

The nerves running through your spinal cord are incredibly delicate, and it doesn't take that much to cause them to start going quite wrong.

A relatively small amount of abnormality in my case around T6-T7 area caused me to lose sensation and motor control below the abdomen. You can see before/after MRIs here: https://medium.com/@p7r/one-year-on-2b624075b0bc

Whilst the "object" is some 20mm-30mm long, the impingment into the nerves is perhaps 3mm deep at its maximum, but is pushing the nerves into my spine itself causing two pinch points on the left hand side.

That was all it took to not being able to walk or feel almost anything in my legs, or feet.

My ASIA scores were mostly 0 (no sensation), with some 1 scores (impaired sensation). A month after surgery I was scoring 1 almost everywhere.

Nerve regrowth is magical in that it just works, but it is very slow - around 0.1mm per week is what I was told - and it took me six months to not need a walking stick and have close to normal proprioception below the abdomen. Today - two years later - I still have slight numbness around the ball of my right foot (strangely it's temporal - it definitely has bad days), but am able to walk, drive and do so on without issue.

My ASIA scores now would be 2s everywhere with a single 1 on a specific point of my foot, but even then it's close to being a 2.

So, it is definitely possible that even a tiny, tiny amount of impairment into the nerves would lead to 0 and 1 scores that after 6 months move to a 2, even with pretty minor impingements.

Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#26
Formlabs is making strong progress towards making this kind of technology more accessible. Their ~$3500 3D printers have enabled similar innovations in healthcare; likely why they're now valued at >$1B... I've been watching the progress of this prosthetic technique [https://formlabs.com/blog/shirley-technique-facial-prosthesi...] and customization of orthotics [https://formlabs.com/blog/father-helps-son-with-cerebral-pal...]

Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#27
It should be noted that – contrarily to my first thoughts when reading the title – the implant won't work if the spinal cord was cut. It only serves as a sophisticated 3D printed titanium splint for the spine, which is already a big achievement by itself.

Re: Teenager can walk again thanks to Dutch 3D printed spinal implant

#30
post #28

Is there a limit to how many bones in the body could be replaced with titanium?

I imagine you would sorely miss having an immune function (and blood) if you replaced them all. Bone marrow is where both red and white blood cells are made.
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