title: A modified lateral decubitus position for surgical approaches to midline posterior fossa lesions: technical note.
abstract: Although a number of operative positions have been described for approaching midline posterior fossa tumors, all have potential disadvantages and complications. We describe a modified lateral decubitus position for the removal of posterior fossa tumors. The position allows blood and cerebrospinal fluid to drain from the operative wound and provides a straight-on view of the posterior fossa contents. It also allows the surgeon to sit comfortably during tumor removal, thereby reducing operator fatigue. We have found this to be a reliable and valuable approach for posterior fossa pathology.
authors.affiliation: Department of Neurosurgery, Children's Hospital of Buffalo, State University of New York at Buffalo, USA.
authors.forename: M S
authors.initials: MS
authors.lastname: Dias
authors.forename: K E
authors.initials: KE
authors.lastname: Aronyk
mesh_terms: D001932:Brain Neoplasms / Q000473:pathology / Q000601:surgery*; D001933:Brain Stem / Q000473:pathology / Q000601:surgery; D003388:Cranial Fossa, Posterior / Q000473:pathology / Q000601:surgery*; D004806:Ependymoma / Q000473:pathology / Q000601:surgery; D006801:Humans; D008527:Medulloblastoma / Q000473:pathology / Q000601:surgery*; D011187:Posture; D013514:Surgical Procedures, Operative