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Related Experiment Videos

Using the Heffington frame in elective lumbar spinal surgery.

C Sutterlin1, G R Rechtine

  • 1Department of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Orthopaedic Review
|June 1, 1988
PubMed
Summary

The Heffington frame reduces blood loss during lumbar spine surgery by decompressing the abdomen. This study found no complications associated with using the Heffington frame in 27 patients.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Surgical Positioning

Background:

  • Patient positioning is critical for lumbar spine surgery.
  • Various methods exist for positioning patients prone during surgery.
  • The Heffington frame offers an alternative positioning technique.

Purpose of the Study:

  • To evaluate the efficacy of the Heffington frame for patient positioning in elective lumbar spine surgery.
  • To compare intraoperative blood loss between the Heffington frame and standard prone positioning.
  • To assess the safety and complication profile of the Heffington frame.

Main Methods:

  • A prospective study involving 27 patients undergoing elective lumbar spine surgery.
  • Patients were positioned using the Heffington frame with hips and knees flexed, allowing abdominal decompression.
  • Comparison group: patients positioned in the standard prone position.

Main Results:

  • The Heffington frame group demonstrated reduced average intraoperative blood loss compared to the prone group.
  • This reduction is attributed to maximal abdominal decompression facilitated by the frame.
  • No complications were reported in patients positioned with the Heffington frame.

Conclusions:

  • The Heffington frame is an effective and safe method for patient positioning in lumbar spine surgery.
  • Utilizing the Heffington frame can lead to decreased intraoperative blood loss.
  • Abdominal decompression is a key factor in minimizing blood loss during these procedures.

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