[Positioning injuries among patients undergoing spine surgery]

Area of Science:

• Orthopaedic Surgery
• Neurology
• Patient Safety

Context:

• Anesthetized patients undergoing spine surgery are often placed in the prone position for extended durations.
• Positioning-related injuries are a concern in this patient population.
• Understanding the incidence and risk factors for these injuries is crucial for improving patient outcomes.

Purpose:

• To determine the types and incidence of positioning injuries in patients undergoing spine surgery in the prone position for over two hours.
• To identify patient-specific risk factors associated with positioning-related injuries.
• To investigate the long-term effects of these injuries on patients' daily lives.

Summary:

• A follow-up study of 299 patients undergoing spine surgery in the prone position revealed a potential association between the duration of prone positioning and the occurrence of nerve injuries.
• Of the 33 patients who sustained nerve injuries one year post-surgery, 18 had injuries affecting the upper extremities.
• No significant connection was found between upper extremity nerve injuries and pre-existing patient factors, though these injuries impact daily living.

Impact:

• Highlights the need for further investigation into predisposing factors like body mass index and body build.
• Emphasizes the significant impact of arm and hand nerve injuries on patients' quality of life.
• Recommends the development and implementation of standardized positioning guidelines to mitigate risks.