Abstract:
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.
摘要:
脊柱手术在过去十年中取得了巨大的进步。每年进行的脊柱手术的数量也在不断增加。不幸的是,脊柱手术中位置相关并发症的报告也在稳步增加.这些并发症不仅导致患者的严重发病率,而且增加了手术和麻醉团队的诉讼风险。幸运的是,大多数位置相关的并发症是可以避免的基本定位知识。因此,谨慎行事并采取一切必要的预防措施以避免与体位相关的并发症至关重要.我们讨论了与俯卧位相关的各种位置相关并发症,这是脊柱手术中最常用的位置,在这篇叙述性评论中。我们还讨论了避免并发症的各种方法。此外,我们简要讨论脊柱外科中不常用的位置,比如横向和坐姿。