Garg Bhavuk, Bansal Tungish, Mehta Nishank, Sharan Alok D
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Asian Spine J. 2023 Aug;17(4):770-781. doi: 10.31616/asj.2022.0320. Epub 2023 May 25.
Spine surgery has advanced tremendously over the last decade. The number of spine surgeries performed each year has also been increasing constantly. Unfortunately, the reporting of position-related complications in spine surgery has also been steadily increasing. These complications not only result in significant morbidity for the patient but also raises the risk of litigation for the surgical and anesthetic teams. Fortunately, most position-related complications are avoidable with basic positioning knowledge. Hence, it is critical to be cautious and take all necessary precautions to avoid position-related complications. We discuss the various position-related complications associated with the prone position, which is the most commonly used position in spine surgery, in this narrative review. We also discuss the various methods for avoiding complications. Furthermore, we briefly discuss less commonly used positions in spine surgery, like the lateral and sitting positions.
在过去十年中，脊柱外科取得了巨大进展。每年进行的脊柱手术数量也在持续增加。不幸的是，脊柱手术中与体位相关并发症的报告也在稳步上升。这些并发症不仅给患者带来严重的发病风险，还增加了手术和麻醉团队面临诉讼的风险。幸运的是，凭借基本的体位知识，大多数与体位相关的并发症是可以避免的。因此，谨慎并采取所有必要的预防措施以避免与体位相关的并发症至关重要。在这篇叙述性综述中，我们讨论了与俯卧位相关的各种体位并发症，俯卧位是脊柱手术中最常用的体位。我们还讨论了避免并发症的各种方法。此外，我们简要讨论了脊柱手术中较少使用的体位，如侧卧位和坐位。
