University of Central Florida College of Medicine, 6850 Lake Nona Blvd., Orlando, FL, 32827, USA.
Department of Neurological Surgery, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA.
Acta Neurochir (Wien). 2020 Apr;162(4):967-971. doi: 10.1007/s00701-020-04258-0. Epub 2020 Feb 10.
Spine surgery is a demanding surgical specialty which requires surgeons to operate for hours on end, often compromising good posture. Sustained poor posture in the operating room (OR) can be the source of many adverse health effects on spine surgeons. This study will analyze posture of a spine surgeon in different types of spine surgery cases.
Posture of a surgeon was measured using the UPRIGHT Posture Training Device. The device was worn by the surgeon in the OR through a wide variety of spine surgery cases.
The percent time spent slouched while performing cervical, adult deformity, and lumbar spine surgeries is 39.9, 58.9, and 38.6, respectively. For all surgeries recorded, the percent time slouched is 41.6. The average procedure time was 145.3 min, with adult deformity cases on average being the longest (245.6 min) followed by cervical (152.9 min) and then lumbar (122.5 min).
Poor posture while operating is very likely to occur for many spine surgeons regardless of case type. This poor posture is maintained for long periods of time given the average spine surgery procedure recorded in the study was roughly 2.5 h long. Spine surgeons should be aware of the tendency for poor posture while operating, and they should try using posture-improving techniques to maintain good spine health.
脊柱外科是一项要求很高的外科专业，需要外科医生连续数小时进行手术，通常会影响到良好的姿势。手术室（OR）中持续的不良姿势可能是脊柱外科医生许多健康不良影响的根源。本研究将分析不同类型脊柱手术中脊柱外科医生的姿势。
使用 UPRIGHT 姿势训练器测量外科医生的姿势。该设备通过各种类型的脊柱手术病例在 OR 中由外科医生佩戴。
在进行颈椎、成人畸形和腰椎手术时，弯腰的时间百分比分别为 39.9%、58.9%和 38.6%。对于记录的所有手术，弯腰的时间百分比为 41.6%。平均手术时间为 145.3 分钟，成人畸形病例平均时间最长（245.6 分钟），其次是颈椎（152.9 分钟），然后是腰椎（122.5 分钟）。
无论手术类型如何，许多脊柱外科医生在手术时都很可能会出现不良姿势。考虑到研究中记录的平均脊柱手术时间约为 2.5 小时，这种不良姿势会持续很长时间。脊柱外科医生应该意识到手术时不良姿势的倾向，他们应该尝试使用改善姿势的技术来保持良好的脊柱健康。
