Abstract
Outcomes in posterior cervical spine surgery are highly dependent on proper operative head and neck positioning. As with any spinal procedure, posterior cervical surgery can be associated with significant morbidity; known complications directly related to positioning include postoperative vision loss, neurological injury, and poor surgical outcome. Unsurprisingly, a variety of techniques have been developed that aim to mitigate these complications while improving overall outcomes. The aim of this article is to present a standardized technique for application of the Mayfield skull clamp focusing on a team-based approach for patient positioning to minimize complications. The existing literature is also reviewed for complications associated with head positioning devices. Our method of clamp application and patient positioning minimizes complications (0.36% over a 14-y period), optimizes surgical exposure with anatomic position of the bony elements, and maximizes intraoperative spinal stability. This protocol is ideal for all the posterior cervical procedures.
| Original language | English (US) |
|---|---|
| Journal | Techniques in Orthopaedics |
| DOIs | |
| State | Published - Jan 1 2019 |
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Keywords
- cervical spine
- complications
- patient positioning
- posterior spine surgery
- skull clamp
- skull clamp application
- spinal decompression
- spinal fusion
- spine surgery
- team-based
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
Cite this
Skull Clamp Application : A Safe, Team-based Approach and Literature Review. / Land, Charles; Bowden, Blake; Callaway, Lamar; Henderson, Andrew; DeVine, John Glenden.
In: Techniques in Orthopaedics, 01.01.2019.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Skull Clamp Application
T2 - A Safe, Team-based Approach and Literature Review
AU - Land, Charles
AU - Bowden, Blake
AU - Callaway, Lamar
AU - Henderson, Andrew
AU - DeVine, John Glenden
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Outcomes in posterior cervical spine surgery are highly dependent on proper operative head and neck positioning. As with any spinal procedure, posterior cervical surgery can be associated with significant morbidity; known complications directly related to positioning include postoperative vision loss, neurological injury, and poor surgical outcome. Unsurprisingly, a variety of techniques have been developed that aim to mitigate these complications while improving overall outcomes. The aim of this article is to present a standardized technique for application of the Mayfield skull clamp focusing on a team-based approach for patient positioning to minimize complications. The existing literature is also reviewed for complications associated with head positioning devices. Our method of clamp application and patient positioning minimizes complications (0.36% over a 14-y period), optimizes surgical exposure with anatomic position of the bony elements, and maximizes intraoperative spinal stability. This protocol is ideal for all the posterior cervical procedures.
AB - Outcomes in posterior cervical spine surgery are highly dependent on proper operative head and neck positioning. As with any spinal procedure, posterior cervical surgery can be associated with significant morbidity; known complications directly related to positioning include postoperative vision loss, neurological injury, and poor surgical outcome. Unsurprisingly, a variety of techniques have been developed that aim to mitigate these complications while improving overall outcomes. The aim of this article is to present a standardized technique for application of the Mayfield skull clamp focusing on a team-based approach for patient positioning to minimize complications. The existing literature is also reviewed for complications associated with head positioning devices. Our method of clamp application and patient positioning minimizes complications (0.36% over a 14-y period), optimizes surgical exposure with anatomic position of the bony elements, and maximizes intraoperative spinal stability. This protocol is ideal for all the posterior cervical procedures.
KW - cervical spine
KW - complications
KW - patient positioning
KW - posterior spine surgery
KW - skull clamp
KW - skull clamp application
KW - spinal decompression
KW - spinal fusion
KW - spine surgery
KW - team-based
UR - http://www.scopus.com/inward/record.url?scp=85067411102&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85067411102&partnerID=8YFLogxK
U2 - 10.1097/BTO.0000000000000397
DO - 10.1097/BTO.0000000000000397
M3 - Review article
AN - SCOPUS:85067411102
JO - Techniques in Orthopaedics
JF - Techniques in Orthopaedics
SN - 0885-9698
ER -