Complications associated with prone positioning in elective spinal surgery

作     者：J Mason De Passe Mark A Palumbo Maahir Haque Craig P Eberson Alan H Daniels 

作者机构：Department of Orthopaedics Warren Alpert Medical School of Brown University 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2015年第6卷第3期

页      面：351-359页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Stryker Globus Medical Orthofix, Inc Osseus 

主　　题：Spine Patient positioning Prone position Complications Prevention and control 

摘      要：Complications associated with prone surgical positioning during elective spine surgery have the potential to cause serious patient *** many ofthese complications remain uncommon,the range of possible morbidities is wide and includes multiple organ *** visual loss(POVL)is a well described,but uncommon complication that may occur due to ischemia to the optic nerve,retina,or cerebral ***-angle glaucoma and amaurosis have been reported as additional etiologies for vision loss following spinal *** nerve injuries,such as those caused by prolonged traction to the brachial plexus,are more commonly encountered postoperative *** complications including pressure ulcers and compartment syndrome may also occur after prone positioning,albeit *** uncommon positioning complications such as tongue swelling resulting in airway compromise,femoral artery ischemia,and avascular necrosis of the femoral head have also been *** of these are well-understood and largely avoidable through thoughtful attention to *** complications,such as POVL,remain incompletely understood and thus more difficult to predict or ***,the current literature on the complications of prone positioning for spine surgery is reviewed to increase awareness of the spectrum of potential complications and to inform spine surgeons of strategies to minimize the risk of prone patient morbidity.