Application of a modified surgical position in anterior approach for total cervical artificial disc replacement.

التفاصيل البيبلوغرافية
العنوان:	Application of a modified surgical position in anterior approach for total cervical artificial disc replacement.
المؤلفون:	Hou WX; Third Ward of Orthopedics Department, Qilu Hospital, Shandong University, Jinan 250012, Shandong Province, China., Zhang HX; Department of Spine Surgery, Shandong Provincial Qianfoshan Hospital, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, Shandong Province, China., Wang X; Third Ward of Orthopedics Department, Qilu Hospital, Shandong University, Jinan 250012, Shandong Province, China., Yang HL; Department of Nursing, Qilu Hospital, Shandong University, Jinan 250012, Shandong Province, China., Luan XR; Third Ward of Orthopedics Department, Qilu Hospital, Shandong University, Jinan 250012, Shandong Province, China. yuwu0305@126.com.
المصدر:	World journal of clinical cases [World J Clin Cases] 2020 Jan 06; Vol. 8 (1), pp. 38-45.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101618806 Publication Model: Print Cited Medium: Print ISSN: 2307-8960 (Print) Linking ISSN: 23078960 NLM ISO Abbreviation: World J Clin Cases Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Publication: 2014-: Pleasanton, CA : Baishideng Publishing Group Original Publication: Hong Kong, China : Baishideng Publishing Group Co., Limited, [2013]-
مستخلص:	Background: Total cervical artificial disc replacement (TDR) has been considered a safe and effective alternative surgical treatment for cervical spondylosis and degenerative disc disease that have failed to improve with conservative methods. Positioning the surgical patient is a critical part of the procedure. Appropriate patient positioning is crucial not only for the safety of the patient but also for optimizing surgical exposure, ensuring adequate and safe anesthesia, and allowing the surgeon to operate comfortably during lengthy procedures. The surgical posture is the traditional position used in anterior cervical approach; in general, patients are in a supine position with a pad under their shoulders and a ring-shaped pillow under their head. Aim: To investigate the clinical outcomes of the use of a modified surgical position versus the traditional surgical position in anterior approach for TDR. Methods: In the modified position group, the patients had a soft pillow under their neck, and their jaw and both shoulders were fixed with wide tape. The analyzed data included intraoperative blood loss, position setting time, total operation time, and perioperative blood pressure and heart rate. Results: Blood pressure and heart rate were not significantly different before and after body positioning in both groups ( P > 0.05). Compared with the traditional position group, the modified position group showed a statistically significantly longer position setting time ( P < 0.05). However, the total operation time and intraoperative blood loss were significantly reduced in the modified position group compared with the traditional position group ( P < 0.05). Conclusion: The clinical outcomes indicated that total operation time and intraoperative blood loss were relatively lower in the modified position group than in the traditional position group, thus reducing the risks of surgery while increasing the position setting time. The modified surgical position is a safe and effective method to be used in anterior approach for TDR surgery. Competing Interests: Conflict-of-interest statement: No potential conflicts of interest relevant to this article are reported. (©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.)
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فهرسة مساهمة:	Keywords: Anterior approach; Cervical spondylosis; Surgical position; Total cervical artificial disc replacement
تواريخ الأحداث:	Date Created: 20200124 Latest Revision: 20200930
رمز التحديث:	20231215
مُعرف محوري في PubMed:	PMC6962081
DOI:	10.12998/wjcc.v8.i1.38
PMID:	31970168
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	2307-8960
DOI:	10.12998/wjcc.v8.i1.38