Interested medical professionals can read the full paper, as published in Spine, here.
To demonstrate a controlled extension osteotomy technique of the cervical spine in a prone position and using the head elevator mechanism on the Jackson operating table to correct a chin-on-chest deformity in a patient with ankylosing spondylitis.
Summary of Background Data
Catastrophic cord injury causing quadriplegia and death has been associated with correction of chin-on-chest deformity in patients with ankylosing spondylitis. Manual control of spinal column motion during and after osteoclasis or osteotomy can be difficult, inexact, and anxiety inducing.
A 45-year-old woman with ankylosing spondylitis and severe chin-on-chest deformity underwent a posterior C7 pedicle subtraction osteotomy, deformity correction, and instrumented fusion in a prone position on the Jackson operating table.
By using the elevator mechanism attached to the head of the operating table and Mayfield tongs, the patient’s cervicothoracic junction was placed into extension by over 30 degrees in controlled increments.
We present a technique for controlled extension osteotomy correction of chin-on-chest deformity in a prone position. Use of the operating table mechanism in conjunction with a closing-wedge osteotomy diminishes the risk of translation, decreases risk of air embolus associated with a sitting position, and promotes greater opportunity for fusion through the osteotomy, and the stability allows for placement of modern instrumentation.
About Author Dr. Kingsley R. Chin
Dr. Kingsley R. Chin is a board certified Harvard-trained orthopedic spine surgeon and professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Studies at the University of Technology, Jamaica.
About Less Exposure Surgery
Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.
The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD
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Scientific Paper Author & Citation Details
- Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. email@example.com