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.
Abstract

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