The role and safety of the sitting position in instrumented cervical surgery.
Placing patients who are undergoing neurosurgical procedures to the cervical spine in the sitting position offers significant advantages. These must be counterbalanced against the risk of venous and paradoxical air embolism. This study addresses the role and safety of the sitting position for instrumented cervical surgery. Twenty-five consecutive patients who underwent instrumented cervical surgery in the sitting position were recruited via retrospective analysis. Complications arising from the surgical procedure - specifically venous air embolism - were recorded, as well as pre- and post-operative haemoglobin levels. The incidence of venous air embolism was 0% (97.5% one-sided confidence interval: 0-13.7%). However, five other complications occurred (incidence rate of 20% with a 95% confidence interval of 6.8-40.7%). With appropriate precautions, screening and specific indications, the sitting position can be safely used in more complex instrumented cervical surgery.
['Gan|Calvin|C|', 'King|James A|JA|', 'Maartens|Nicholas F|NF|']
D000328:Adult D002574:Cervical Vertebrae D004618:Embolism, Air D005260:Female D006801:Humans D015994:Incidence D008297:Male D008875:Middle Aged D019635:Neurosurgical Procedures D011183:Postoperative Complications D011184:Postoperative Period D011187:Posture D012189:Retrospective Studies D055815:Young Adult
Instrumentation Spine Air embolism Cervical vertebrae Neurosurgery