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Prone versus sitting position in pediatric low-grade posterior fossa tumors

Valentina Baro1, Riccardo Lavezzo2, Elisabetta Marton3

  • 1Academic Neurosurgery, Department of Neurosciences, University of Padova Medical School, via Giustiniani 5, 35100, Padova, Italy. valentina.baro@unipd.it.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|January 6, 2019
PubMed

Insights

For pediatric posterior fossa surgery, both sitting and prone positions are safe for suboccipital craniotomies. This study found no significant differences in complications or outcomes for pilocytic astrocytoma patients.

Area of Science:

  • Neurosurgery
  • Pediatric Oncology

Background:

  • Suboccipital craniotomy for infratentorial access presents a choice between sitting and prone positions.
  • Limited comparative data exists on complications and outcomes, particularly in pediatric populations.

Purpose of the Study:

  • To compare intraoperative and postoperative complications and neurological outcomes in pediatric patients with pilocytic astrocytoma.
  • Evaluate the safety and efficacy of sitting versus prone positioning for posterior cranial fossa surgery.

Main Methods:

  • Retrospective analysis of 30 consecutive pediatric patients undergoing surgery for cerebellar pilocytic astrocytoma.
  • Data collected from 1999 to 2017, including preoperative, intraoperative, and postoperative parameters.

Main Results:

  • No statistically significant differences were observed between the sitting and prone position groups.
  • Preoperative, intraoperative, and postoperative data showed similar profiles for both positions.
  • Neurological status at last follow-up was comparable between the two groups.

Conclusions:

  • Both sitting and prone positions are deemed safe for suboccipital craniotomies in pediatric patients.
  • Further research is recommended to investigate positional differences for other pediatric brain tumors like medulloblastomas and ependymomas.
Abstract

Keywords:
ChildrenComplicationsOutcomePilocytic astrocytomaSurgical positions

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