A New Frame for Surgery of the Lumbar Spine

A new frame is designed for back surgery. The frame consists of three supports (sternum and anterior superior iliac spines). The iliac crest is positioned at the center of the support, and hips and knees are semi-flexed. If the frame gives adequate support with suitable adjustment, the lumbar area o...

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Published inOrthopedics & Traumatology Vol. 34; no. 1; pp. 392 - 395
Main Authors Tajima, Naoya, Kawano, Keiichiro, Matsumoto, Koichi, Deguchi, Yoshihiro, Morita, Shinji
Format Journal Article
LanguageEnglish
Published West-Japanese Society of Orthopedics & Traumatology 1985
Online AccessGet full text
ISSN0037-1033
1349-4333
1349-4333
DOI10.5035/nishiseisai.34.392

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Abstract A new frame is designed for back surgery. The frame consists of three supports (sternum and anterior superior iliac spines). The iliac crest is positioned at the center of the support, and hips and knees are semi-flexed. If the frame gives adequate support with suitable adjustment, the lumbar area of the back of the patient is a flat plane, his abdomen hangs free, and his femoral vessels and inferior vena cava are not compressed. Oxygen intake and vital capacity were measured on seven healthy men and intraosseous pressure in the spinous process of the lumbar spine on another seven patients in this frame and other type five frames. It may be concluded as follows: (1) the patient can be made comfortable, (2) there is no restriction to chest and abdomen, and (3) there is no congestion of the epidural venous plexus.
AbstractList A new frame is designed for back surgery. The frame consists of three supports (sternum and anterior superior iliac spines). The iliac crest is positioned at the center of the support, and hips and knees are semi-flexed. If the frame gives adequate support with suitable adjustment, the lumbar area of the back of the patient is a flat plane, his abdomen hangs free, and his femoral vessels and inferior vena cava are not compressed. Oxygen intake and vital capacity were measured on seven healthy men and intraosseous pressure in the spinous process of the lumbar spine on another seven patients in this frame and other type five frames. It may be concluded as follows: (1) the patient can be made comfortable, (2) there is no restriction to chest and abdomen, and (3) there is no congestion of the epidural venous plexus.
Author Kawano, Keiichiro
Matsumoto, Koichi
Tajima, Naoya
Deguchi, Yoshihiro
Morita, Shinji
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  organization: Department of Orthopaedic Surgery, Miyazaki Medical College
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  fullname: Morita, Shinji
  organization: Department of Orthopaedic Surgery, Miyazaki Medical College
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References 1) 金田清志・他: 脊椎後方手術の体位とフレーム. 臨整外, 12: 695-703, 1977.
5) Taylar, A. R. et al.: Posture and anesthesia for spinal operations with special reference to intervertebral disc surgery. Brit. J. Anaeth. 28: 213-219, 1956.
2) Pearce, D. J.: The role of posture in laminectomy. Proc. Roy. Soc. Med. 50: 109-112, 1957.
4) 田島直也・他: 腰椎後方手術用フレームの試作 (仮称田島式). 整形外科, 29: 1779-1781, 1978.
3) Smith, R. H. et al.: Problems related to the prone position for surgical operations. Anestheology, 22: 189-193, 1961.
References_xml – reference: 1) 金田清志・他: 脊椎後方手術の体位とフレーム. 臨整外, 12: 695-703, 1977.
– reference: 2) Pearce, D. J.: The role of posture in laminectomy. Proc. Roy. Soc. Med. 50: 109-112, 1957.
– reference: 5) Taylar, A. R. et al.: Posture and anesthesia for spinal operations with special reference to intervertebral disc surgery. Brit. J. Anaeth. 28: 213-219, 1956.
– reference: 4) 田島直也・他: 腰椎後方手術用フレームの試作 (仮称田島式). 整形外科, 29: 1779-1781, 1978.
– reference: 3) Smith, R. H. et al.: Problems related to the prone position for surgical operations. Anestheology, 22: 189-193, 1961.
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Title A New Frame for Surgery of the Lumbar Spine
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