title: A Technique to Allow Prone Positioning in the Spine Surgery Patient With Unstable Spine Fracture and Flail Segment Rib Fractures.
abstract: Two patients with unstable thoracic spine and flail segment rib fractures initially failed prone positioning on a Jackson spinal table used for posterior spinal instrumentation and fusion surgery. Both patients experienced rapid hemodynamic collapse. We developed a solution using the anterior portions of a thoracolumbosacral orthosis brace as chest supports to use during prone positioning, allowing both patients to undergo uncomplicated posterior spinal instrumentation and fusion surgeries with greater hemodynamic stability.
authors.affiliation: From the Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Pennington
authors.forename: Anthony M
authors.initials: AM
authors.lastname: Roche
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Bransford
authors.forename: Fangyi
authors.initials: F
authors.lastname: Zhang
authors.forename: Armagan
authors.initials: A
authors.lastname: Dagal
mesh_terms: D000368:Aged; D005409:Flail Chest / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D056888:Patient Positioning / Q000379:methods*; D016684:Prone Position; D012253:Rib Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016103:Spinal Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries / Q000601:surgery*