Potential complications of patient positioning in spine surgery

Arestov S.O.; Gerasimova E.V.; Gushcha A.O.

doi:https://doi.org/10.17116/neiro202286011112

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Abstract:

Patient position on the operating table during spine surgery is important for optimal intraoperative manipulations. However, this position is far from physiological one. An unnatural position, surgery time and sometimes necessary intraoperative change in body position can lead to certain neurological and somatic complications. Most of these events can significantly reduce the patient’s working capacity and quality of life and even result disability. Medical staff placing the patient on operating table, neurosurgeons and anesthesiologists should be aware of risk factors of similar complications and their prevention. The authors describe the most serious and difficult for correction conditions, such as peripheral neuropathy, damage to visual analyzer, as well as optimal method of patient positioning.

Keywords:

spine surgery

intraoperative patient positioning

peripheral neuropathy

ischemic optic neuropathy

tunnel syndrome

decubitus ulcers

Authors:

Arestov S.O.

Neurology Research Center

Gerasimova E.V.

Neurology Research Center

Gushcha A.O.

Neurology Research Center;
Russian Medical Academy of Continuing Postgraduate Education

Received:

15.01.2021

Accepted:

29.11.2021

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References:

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