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Juxtacellular Monitoring and Localization of Single Neurons within Sub-cortical Brain Structures of Alert, Head-restrained Rats

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Broken mayfield head clamp.

Tae Hoon Lee¹, Sang Jin Kim, Do Sang Cho

¹Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital, Seoul, Korea.

Journal of Korean Neurosurgical Society

|June 12, 2009

Summary

This summary is machine-generated.

A rare Mayfield head clamp (MHC) breakage occurred during neurosurgery installation. Proper instrument maintenance is crucial to prevent potential patient injury and ensure surgical safety.

Keywords:

Breakage Mayfield head clamp

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Area of Science:

Neurosurgery
Surgical Instrumentation
Biomedical Engineering

Background:

The Mayfield head clamp (MHC) is a standard device for head and neck immobilization during neurosurgical procedures.
Reliance on the MHC is high, assuming its inherent safety and reliability in clinical settings.
Degenerative spondylotic cervical stenosis is a common condition requiring surgical intervention like cervical laminoplasty.

Observation:

An extremely rare incident of MHC system breakage occurred during the installation phase for a cervical laminoplasty.
The breakage happened when force was applied during pin fixation, despite the patient being stable.
No head or neck injury was sustained by the patient due to the incident.

Findings:

The Mayfield head clamp arm fractured during an attempted installation for cervical laminoplasty.
Despite the instrument failure, the patient remained stable, and the surgery was successfully completed using an alternative MHC.
The patient experienced no complications related to the MHC system post-surgery.

Implications:

Highlights the critical importance of rigorous instrument management and maintenance protocols for neurosurgical equipment.
Suggests a need for further investigation into the mechanical integrity and failure modes of the Mayfield head clamp under stress.
Emphasizes that even rare equipment failures necessitate robust contingency planning in surgical procedures to ensure patient safety.