Modified prone position using lateral brace attachments for cervico-dorsal spine surgeries

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Spinal Surgery

Background:

• Prone positioning is crucial for posterior cervico-dorsal spine surgeries.
• Traditional methods may involve specialized equipment and potential complications.
• Developing an accessible and safe positioning technique is essential.

Purpose of the Study:

• To propose a novel, equipment-free prone positioning method for posterior cervico-dorsal spine surgeries.
• To assess the feasibility and safety of this technique.
• To reduce complications associated with prone positioning.

Main Methods:

• A technique using a conventional operating table with padded bolsters and lateral brace attachments was employed.
• Forty-one patients undergoing posterior spine surgery were positioned using this method.
• Cervical tongs were applied, and the head was suspended freely with a neutralisation weight.

Main Results:

• Patient positioning time was comparable to traditional methods.
• No anesthesia tubing or positioning difficulties were encountered.
• One case of post-operative macroglossia occurred; all cervical tong pin sites healed well.
• Fluoroscopic access to surgical sites was adequate.

Conclusions:

• The modified prone positioning technique is simple, versatile, and reproducible for posterior cervical and upper dorsal spine procedures.
• It can be implemented in standard operating rooms with minimal effort and no additional equipment.
• This method offers a safe and effective alternative for prone positioning in spinal surgery.