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Prone for T1-S1

Positioning for midline approach (posterior procedures)

The patient is positioned onto a radiolucent table prone on two horizontally placed padded bolsters (one at the level of sternum and another one at the level of anterior iliac spine) or a frame.

  • The abdomen should hang free to avoid increased intraabdominal pressure to prevent excessive bleeding
  • Adequate padding needs to be provided to elbows and knees to avoid pressure sores
  • The head is rested either in a padded head holder or a Mayfield rest to avoid pressure on the eyes.

Make sure that there are adequate personnel to receive and turn the patient from supine to prone position on the operating table.