Image to analysis pipeline: single and double balloons kyphoplasty

In this work, we present a semi-automatic pipeline from image to simulation of a patient fractured vertebra after the kyphoplastic augmentation with two balloons. In this procedure, the CT-scan medical image are pre-processed using open-source software Slice3D for segmentation and 3D reconstruction operation. Then, using geometric processing the 3D surface geometry is enhanced to avoid degenerate element and trigging phenomena on vertebra and cement area. We perform a finite element analysis to evaluate the risk of subsequent vertebral
fracture. Finally using Monte-Carlo technique, we assess the propagation of uncertainty of material parameter on the evaluation of this risk. Based on the developed semi-automatic pipelines, it is possible to perform a patient-specific simulation that assesses the successful of kyphoplasty operation.