Risk Factors for Facial Pressure Ulcers in Patients Who Underwent Prolonged Prone Orthopedic Spine Surgery

Area of Science:

• Neurosurgery
• Patient Safety
• Surgical Complications

Background:

• Facial pressure ulcers (FPU) are a potential complication in patients undergoing spine surgery in the prone position.
• The use of head positioning devices for extended durations increases the risk of FPU.
• Understanding incidence and risk factors is crucial for prevention strategies.

Purpose of the Study:

• To determine the incidence of facial pressure ulcers (FPU) in patients undergoing spine surgery in the prone position.
• To identify independent risk factors associated with the development of FPU in this patient population.

Main Methods:

• Retrospective analysis of 300 patient cases undergoing spine surgery in the prone position.
• Evaluation of outcomes related to the use of head padded devices for over 3 hours.
• Statistical analysis to identify independent risk factors for FPU development.

Main Results:

• The incidence of FPU was 27.3% in patients undergoing prone spine surgery with head padded devices for >3 hours.
• Independent risk factors identified include hypotension, elevated body temperature, prolonged operative time, and significant crystalloid fluid administration.

Conclusions:

• Facial pressure ulcers represent a significant complication following prolonged prone spine surgery.
• Hypotension, increased temperature, longer surgery duration, and excessive crystalloid therapy are critical risk factors for FPU.
• Implementing preventative measures targeting these risk factors is essential for improving patient outcomes.