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Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study
BACKGROUND: Although complications have been associated with head clamp systems, few reports have described head slippage. The present study aimed to determine risk factors for head slippage and speculated that the position of head holder pins might be associated. PATIENTS AND METHODS: We reviewed m...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104198/ https://www.ncbi.nlm.nih.gov/pubmed/32273710 http://dx.doi.org/10.2147/TCRM.S247402 |
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author | Sakakura, Kazuki Fujimoto, Ayataka Ichikawa, Naoki Ishikawa, Eiichi Matsumura, Akira Enoki, Hideo Okanishi, Tohru |
author_facet | Sakakura, Kazuki Fujimoto, Ayataka Ichikawa, Naoki Ishikawa, Eiichi Matsumura, Akira Enoki, Hideo Okanishi, Tohru |
author_sort | Sakakura, Kazuki |
collection | PubMed |
description | BACKGROUND: Although complications have been associated with head clamp systems, few reports have described head slippage. The present study aimed to determine risk factors for head slippage and speculated that the position of head holder pins might be associated. PATIENTS AND METHODS: We reviewed medical records and compared the positions of the pinned heads of patients on fused preoperative and postoperative computerized tomography (CT) images. We measured the distance between corresponding head pins to determine head slippage. Age, sex, body weight, body mass index, surgical position, surgical duration, craniotomy volume, and the relationship between head pins and the nasion-inion (NI) line were statistically compared between patients with and without head slippage. RESULTS: Head slippage in 3 (10%) of 28 patients was significantly associated with the most caudal pin position (p < 0.001) and craniotomy volume (p = 0.036). Receiver operator characteristics curves indicated a cutoff of 4.5 cm from the NI line (sensitivity and specificity, 1.000 and 0.800, respectively). CONCLUSION: Clamped heads can slip during surgical procedures. We found that one head pin should be located within 4.5 cm from the NI line to avoid head slippage. |
format | Online Article Text |
id | pubmed-7104198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-71041982020-04-09 Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study Sakakura, Kazuki Fujimoto, Ayataka Ichikawa, Naoki Ishikawa, Eiichi Matsumura, Akira Enoki, Hideo Okanishi, Tohru Ther Clin Risk Manag Original Research BACKGROUND: Although complications have been associated with head clamp systems, few reports have described head slippage. The present study aimed to determine risk factors for head slippage and speculated that the position of head holder pins might be associated. PATIENTS AND METHODS: We reviewed medical records and compared the positions of the pinned heads of patients on fused preoperative and postoperative computerized tomography (CT) images. We measured the distance between corresponding head pins to determine head slippage. Age, sex, body weight, body mass index, surgical position, surgical duration, craniotomy volume, and the relationship between head pins and the nasion-inion (NI) line were statistically compared between patients with and without head slippage. RESULTS: Head slippage in 3 (10%) of 28 patients was significantly associated with the most caudal pin position (p < 0.001) and craniotomy volume (p = 0.036). Receiver operator characteristics curves indicated a cutoff of 4.5 cm from the NI line (sensitivity and specificity, 1.000 and 0.800, respectively). CONCLUSION: Clamped heads can slip during surgical procedures. We found that one head pin should be located within 4.5 cm from the NI line to avoid head slippage. Dove 2020-03-25 /pmc/articles/PMC7104198/ /pubmed/32273710 http://dx.doi.org/10.2147/TCRM.S247402 Text en © 2020 Sakakura et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Sakakura, Kazuki Fujimoto, Ayataka Ichikawa, Naoki Ishikawa, Eiichi Matsumura, Akira Enoki, Hideo Okanishi, Tohru Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study |
title | Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study |
title_full | Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study |
title_fullStr | Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study |
title_full_unstemmed | Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study |
title_short | Estimation of Risk Factors for Head Slippage Using a Head Clamp System. A Retrospective Study |
title_sort | estimation of risk factors for head slippage using a head clamp system. a retrospective study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104198/ https://www.ncbi.nlm.nih.gov/pubmed/32273710 http://dx.doi.org/10.2147/TCRM.S247402 |
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