The ideal patient positioning in spine surgery: a preventive strategy

Patient positioning on the surgical table is a critical step in every spine surgery. The most common surgical positions in spine surgery are supine, prone and lateral decubitus. There are countless lesions that can occur during spine surgery due to patient mispositioning. Ulnar nerve and brachia...

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Main Authors: Paulo Diogo Cunha, Tiago P Barbosa, Guilherme Correia, Rafaela Silva, Nuno Cruz Oliveira, Pedro Varanda, Bruno Direito-Santos
Format: Article
Language:English
Published: Bioscientifica 2023-02-01
Series:EFORT Open Reviews
Subjects:
Online Access:https://eor.bioscientifica.com/view/journals/eor/8/2/EOR-22-0135.xml
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author Paulo Diogo Cunha
Tiago P Barbosa
Guilherme Correia
Rafaela Silva
Nuno Cruz Oliveira
Pedro Varanda
Bruno Direito-Santos
author_facet Paulo Diogo Cunha
Tiago P Barbosa
Guilherme Correia
Rafaela Silva
Nuno Cruz Oliveira
Pedro Varanda
Bruno Direito-Santos
author_sort Paulo Diogo Cunha
collection DOAJ
description Patient positioning on the surgical table is a critical step in every spine surgery. The most common surgical positions in spine surgery are supine, prone and lateral decubitus. There are countless lesions that can occur during spine surgery due to patient mispositioning. Ulnar nerve and brachial plexus injuries are the most common nerve lesions seen in malpositioned patients. Devastating complications due to increased intraocular pressure or excessive abdominal pressure can also occur in prone decubitus and are real concerns that the surgical team must be aware of. All members of the surgical team (including surgeons, anesthesiologists and nurses) should know how to correctly position the patient, identify possible positioning errors and know how to avoid them in order to prevent postoperative morbidity. This work pretends to do a review of the most common positions during spine surgery, alert to errors that can happen during the procedure and how to avoid them.
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spelling doaj.art-a8eeb804ace3474782fb20fc1e1759b52023-02-25T09:08:43ZengBioscientificaEFORT Open Reviews2058-52412023-02-0182110https://doi.org/10.1530/EOR-22-0135The ideal patient positioning in spine surgery: a preventive strategyPaulo Diogo Cunha0Tiago P Barbosa1Guilherme Correia2Rafaela Silva3Nuno Cruz Oliveira4Pedro Varanda5Bruno Direito-Santos6Orthopedic Surgery Department, Hospital de Braga, PortugalOrthopedic Surgery Department, Hospital de Braga, PortugalOrthopedic Surgery Department, Hospital de Braga, PortugalAnesthesiology Department, Hospital de Braga, PortugalOrthopedic Surgery Department, Hospital de Braga, PortugalOrthopedic Surgery Department, Hospital de Braga, Portugal; Life and Health Science Research Institute, University of Minho, PortugalOrthopedic Surgery Department, Hospital de Braga, Portugal; Life and Health Science Research Institute, University of Minho, Portugal Patient positioning on the surgical table is a critical step in every spine surgery. The most common surgical positions in spine surgery are supine, prone and lateral decubitus. There are countless lesions that can occur during spine surgery due to patient mispositioning. Ulnar nerve and brachial plexus injuries are the most common nerve lesions seen in malpositioned patients. Devastating complications due to increased intraocular pressure or excessive abdominal pressure can also occur in prone decubitus and are real concerns that the surgical team must be aware of. All members of the surgical team (including surgeons, anesthesiologists and nurses) should know how to correctly position the patient, identify possible positioning errors and know how to avoid them in order to prevent postoperative morbidity. This work pretends to do a review of the most common positions during spine surgery, alert to errors that can happen during the procedure and how to avoid them.https://eor.bioscientifica.com/view/journals/eor/8/2/EOR-22-0135.xmlspine surgerypatient positioningperioperative visual losscompressive neuropathies
spellingShingle Paulo Diogo Cunha
Tiago P Barbosa
Guilherme Correia
Rafaela Silva
Nuno Cruz Oliveira
Pedro Varanda
Bruno Direito-Santos
The ideal patient positioning in spine surgery: a preventive strategy
EFORT Open Reviews
spine surgery
patient positioning
perioperative visual loss
compressive neuropathies
title The ideal patient positioning in spine surgery: a preventive strategy
title_full The ideal patient positioning in spine surgery: a preventive strategy
title_fullStr The ideal patient positioning in spine surgery: a preventive strategy
title_full_unstemmed The ideal patient positioning in spine surgery: a preventive strategy
title_short The ideal patient positioning in spine surgery: a preventive strategy
title_sort ideal patient positioning in spine surgery a preventive strategy
topic spine surgery
patient positioning
perioperative visual loss
compressive neuropathies
url https://eor.bioscientifica.com/view/journals/eor/8/2/EOR-22-0135.xml
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