An Innovative Prone-Position Head Support for Spine Surgery: An Alternative Aimed at Mitigating Risks while Maintaining Good Exposure and Facilitating Effective Anesthesiological Interventions - A Technical Note

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31-May-5305.pdf
Published Jun 24, 2024
DOI: https://doi.org/10.18103/mra.v12i6.5305

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Main Article Content

Guilherme Zanini Rocha Aluízio Augusto Arantes Junior
Neurosurgeon, Professor at the Department of Surgery, Faculty of Medicine, UFMG - Minas Gerais, Brazil
Maurício Queiroz Cardoso
Orthopedist, Fellow of the Spine Surgery Service at Madre Teresa Hospital in Belo Horizonte, Minas Gerais, Brazil
Diogo Nogueira Ribeiro
Orthopedics and traumatology resident at Madre Teresa Hospital in Belo Horizonte, Minas Gerais, Brazil

Abstract

This article aims to describe the development of a head support for prone spinal surgery, which allows the patient's head to be positioned in neutral alignment with the body and enables monitoring of the position of the eyes, mouth, nose, and orotracheal tube, thus avoiding damage due to poor positioning during surgery. A literature review was conducted focusing on complications resulting from head positioning in different supports to develop an option that would reduce the risks of injury. It was developed a support that protects the patient's head and allows easy visualization of the face during surgery, with sufficient space for the anesthesia team to manage the orotracheal tube if necessary. Since its creation, no serious complications have been observed in the use of this support.

Keywords: Spinal column/Surgery, Anesthesia, Safety, Complications, Patient positioning, Prone position

Article Details

How to Cite
ROCHA, Guilherme Zanini et al. An Innovative Prone-Position Head Support for Spine Surgery: An Alternative Aimed at Mitigating Risks while Maintaining Good Exposure and Facilitating Effective Anesthesiological Interventions - A Technical Note. Medical Research Archives, [S.l.], v. 12, n. 6, june 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5305>. Date accessed: 21 dec. 2024. doi: https://doi.org/10.18103/mra.v12i6.5305.
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Issue
Vol 12 No 6 (2024): Vol 12 No 6 (2024): JUNE issue, Issue 6, VOl.12
Section
Research Articles

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References

1. Corso CM, Tanaka PP, Khon K. Isquemia do nervo óptico após intervenção cirúrgica na coluna vertebral: relato de caso. Rev Bras Anestesiol. 2006;56(3):273-277. Doi:10.1590/S0034-70942006000300007
2. Warner ME, Warner MA, Garrity JA, MacKenzie RA, Warner DO. The frequency of perioperative vision loss. Anesth Analg. 2001 Dec;93(6):1417-21, table of contents. Doi: 10.1097/00000539-200112000-00013. PMID: 11726416.
3. Myers MA, Hamilton SR, Bogosian AJ, Smith CH, Wagner TA. Visual loss as a complication of spine surgery. A review of 37 cases. Spine (Phila Pa 1976). 1997 Jun 15;22(12):1325-9. Doi: 10.1097/00007632-199706150-00009. PMID: 9201835.
4. Roth S, Nunez R, Schreider BD. Unexplained visual loss after lumbar spinal fusion. J Neurosurg Anesthesiol. 1997 Oct;9(4):346-8. Doi: 10.1097/00008506-199710000-00010. PMID: 9339408.
5. Lee LA, Lam AM. Unilateral blindness after prone lumbar spine surgery. Anesthesiology. 2001 Sep;95(3):793-5. Doi: 10.1097/00000542-200109000-00036. PMID: 11575556.
6. Yi HJ, Kim DW. Reversible unilateral blindness after lumbar spine surgery: a role for cerebrospinal fluid leakage? J Neurosurg Anesthesiol. 2004 Oct;16(4):322-3. Doi: 10.1097/00008506-200410000-00018. PMID: 15557844.
7. Cheng MA, Todorov A, Tempelhoff R, McHugh T, Crowder CM, Lauryssen C. The effect of prone positioning on intraocular pressure in anesthetized patients. Anesthesiology. 2001 Dec;95(6):1351-5. Doi: 10.1097/00000542-200112000-00012. PMID: 11748391.
8. Warner MA. Perioperative neuropathies, blindness and positioning problems. ASA Annual Meeting Refresher Course Lectures. 2004;L117:1-7.
9. Warner MA. Perioperative neuropathies. Mayo Clin Proc. 1998 Jun;73(6):567-74. Doi: 10.4065/73.6.567. PMID: 9621866.
10. Kolb B, Large J, Watson S, Smurthwaite G. An innovative prone positioning system for advanced deformity and frailty in complex spine surgery. J Neurosurg Spine. 2019;32(2):229-234. Doi:10.3171/2019.7.SPINE19161
11. DePasse JM, Palumbo MA, Haque M, Eberson CP, Daniels AH. Complications associated with prone positioning in elective spinal surgery. World J Orthop. 2015;6(3):351-359. Published 2015 Apr 18. Doi:10.5312/wjo.v6.i3.351
12. Goodwin CR, Recinos PF, Omeis I, et al. Prevention of facial pressure ulcers using the Mayfield clamp for sacral tumor resection. J Neurosurg Spine. 2011;14(1):85-87. Doi:10.3171/2010.9.SPINE09516
13. Thijs D, Menovsky T. The Mayfield Skull Clamp: A Literature Review of Its Complications and Technical Nuances for Application. World Neurosurg. 2021;151:102-109. Doi:10.1016/j.wneu.2021.04.081
14. Krishnan P, Kumar SK, Kartikueyan R, Patel SM. Pin-site epidural hematoma: A catastrophic complication of cranial fixation in a child. J Neurosci Rural Pract. 2016;7(2):286-289. Doi:10.4103/0976-3147.178661
15. DePasse JM, Palumbo MA, Haque M, Eberson CP, Daniels AH. Complications associated with prone positioning in elective spinal surgery. World J Orthop. 2015;6(3):351-359. Published 2015 Apr 18. Doi:10.5312/wjo.v6.i3.351