A new table-fixed soft tissue retractor for the anterior cervical spinal surgery

Area of Science:

• Surgical Instrumentation
• Orthopedic Surgery
• Neurosurgery

Background:

• Maintaining optimal surgical field exposure is critical in anterior cervical spinal surgery.
• Existing self-retaining retractors can be difficult to position and maintain stability.
• Challenges in retractor placement can lead to prolonged operative times and potential complications.

Purpose of the Study:

• To introduce a novel, simple soft tissue retractor system designed for improved stability and ease of use.
• To address the difficulties surgeons face in positioning conventional retractors during anterior cervical spinal surgery.
• To evaluate the efficacy and safety of the new retractor system in various surgical procedures.

Main Methods:

• Development of a new soft tissue retractor system fixed to operating table side rails via stands.
• The system features three simultaneously adjustable joints controlled by a single handle.
• Independent positioning of two retractor blades with fine adjustment capabilities via a ratchet mechanism.

Main Results:

• The new retractor system was utilized in 43 surgical cases, including anterior cervical fusion, posterior thoraco-lumbar decompression, and carotid endarterectomy.
• The system successfully maintained a well-exposed operative field for extended durations.
• No complications related to tissue damage were reported in any of the cases.

Conclusions:

• The developed soft tissue retractor system provides a stable and easily adjustable solution for maintaining surgical exposure.
• This innovative retractor is effective and safe for anterior cervical spinal surgery and other procedures.
• The system simplifies retractor management, potentially improving surgical efficiency and patient outcomes.