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Lateral Position versus Prone Position for Cervical Laminoplasty: A Retrospective Comparative Study
Lin Du1,2, Yanzheng Gao1, Kun Gao1
1Department of Spine Surgery, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou City, Henan Province, People's Republic of China.
Therapeutics and Clinical Risk Management
|February 29, 2020
Summary
The lateral position is a safe alternative to the prone position for cervical laminoplasty, particularly benefiting obese patients by reducing operative time and blood loss. This study highlights its advantages for specific patient groups.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Surgical Positioning
Background:
- Cervical laminoplasty is a surgical procedure to decompress the spinal cord.
- Patient positioning is critical for surgical safety and outcomes.
- The traditional prone position may present challenges, especially for certain patient demographics.
Purpose of the Study:
- To evaluate the safety and efficacy of the lateral decubitus position compared to the prone position for cervical laminoplasty.
- To identify potential advantages of the lateral position in specific patient subgroups.
Main Methods:
- A retrospective comparative study of 466 patients undergoing cervical laminoplasty.
- Patients were divided into lateral (n=229) and prone (n=237) position groups.
- Data collected included positioning time, surgical time, blood loss, complications, and outcomes, with subgroup analysis by BMI.
Main Results:
- The lateral position group showed a significantly lower incidence of facial pressure ulcers (2.18% vs 11.39%).
- No significant differences in overall surgical time, blood loss, or outcomes were observed between groups.
- Obese patients in the lateral group experienced shorter positioning and operative times, and less blood loss compared to the prone group.
Conclusions:
- The lateral decubitus position is a safe alternative to the prone position for cervical laminoplasty.
- The lateral position offers specific advantages for obese patients, including reduced operative time and blood loss.
- This positioning strategy may improve patient safety and surgical efficiency in select populations.
