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Anatomical Positions

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...

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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

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Upper Extremity Monoplegia following Prone Surrender Position for Spinal Surgery.

Gazanfar Rahmathulla¹, Montserrat Lara-Velazquez¹, Ryan Pafford¹

¹Department of Neurological Surgery, University of Florida Jacksonville, Jacksonville, Florida, United States.

Journal of Neurosciences in Rural Practice

|August 10, 2022

Summary

Secondary peripheral nerve injuries, like brachial plexus monoplegia, can occur after spine surgery, especially in polytrauma patients. Careful patient positioning and monitoring are crucial to prevent this rare but serious complication.

Keywords:

brachial plexus monoplegia brachial plexus palsy peripheral nerve positioning nerve injury

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Structured Motor Rehabilitation After Selective Nerve Transfers

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Area of Science:

Neurosurgery
Orthopedic Surgery
Trauma Surgery

Background:

Secondary peripheral nerve injuries are a significant perioperative concern, often linked to patient positioning during surgery.
Comorbidities and concurrent injuries can increase the risk of nerve damage in patients undergoing spinal procedures.

Purpose of the Study:

To report a rare case of pan brachial plexus monoplegia following spinal surgery in a polytrauma patient.
To highlight an under-recognized risk factor and emphasize preventative measures for this specific patient population.

Main Methods:

Case report of a 70-year-old male polytrauma patient with a left first-rib fracture and brachial plexus hematoma.
Analysis of clinical presentation, intraoperative positioning (prone), and postoperative imaging (MRI).
Review of patient's recovery with rehabilitation and long-term follow-up.

Main Results:

The patient developed left upper extremity monoplegia after lumbar spinal fusion in the prone position.
Postoperative MRI showed abnormalities in the left brachial plexus.
Significant improvement with rehabilitation was observed, with a residual wrist drop after one year.

Conclusions:

Pan brachial plexus monoplegia post-spine surgery is rare and under-reported, particularly in polytrauma patients.
Preventative strategies include meticulous preoperative evaluation, patient positioning, anesthetic management, and intraoperative electrophysiological monitoring (e.g., SEPs).
Counseling patients and families about this potential rare morbidity is essential.