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Simple technique of head fixation for image-guided neurosurgery in infants
Deepak Agrawal1, Paul Steinbok
1Division of Pediatric Neurosurgery, Department of Pediatric Surgery, British Columbia Children's Hospital, Children's and Women's Health Centre, Vancouver, BC, Canada.
Insights
A novel, simple head fixation technique using a horseshoe headrest and U-drape is effective for pediatric image-guided neurosurgery. This method successfully secured infant heads for complex procedures over five years.
Area of Science:
- Neurosurgery
- Pediatric Surgery
- Medical Devices
Background:
- Standard pin fixation is unsuitable for young children undergoing neurosurgery.
- Pediatric neurosurgery requires specialized head fixation methods.
- Image-guided neurosurgery demands precise patient positioning.
Purpose of the Study:
- To present a simple, effective head fixation technique for pediatric image-guided neurosurgery.
- To offer an alternative to standard pin fixation in infants.
- To detail a method for securing infant heads during neurosurgical procedures.
Main Methods:
- Utilizing a horseshoe headrest for patient positioning.
- Employing a 'U-drape' to secure the head to the headrest.
- Integrating the technique with the StealthStation navigation system.
Main Results:
- The technique was successfully applied in over ten pediatric neurosurgical cases.
- The head fixation method proved reliable for various neurosurgical procedures.
- No complications related to head fixation were reported in the study period.
Conclusions:
- This simple head fixation technique is a viable and safe option for pediatric image-guided neurosurgery.
- The horseshoe headrest and U-drape method offers a practical solution for infant head stabilization.
- The technique's successful application in multiple cases supports its clinical utility.
Introduction:
The authors describe an extremely simple technique of head fixation for image-guided neurosurgery in young children in whom standard pin fixation cannot be used.
Materials And Methods:
This involves positioning the head on a horseshoe headrest and using a 'U-drape' to fix the head to the headrest.
Result:
Over the last 5 years, this technique of head fixation (in conjunction with Stealthstation) has been used for various neurosurgical procedures in more than ten infants successfully.
