Benjamin Kolb, John Large, Stuart Watson, Glyn Smurthwaite
{"title":"An innovative prone positioning system for advanced deformity and frailty in complex spine surgery.","authors":"Benjamin Kolb, John Large, Stuart Watson, Glyn Smurthwaite","doi":"10.3171/2019.7.SPINE19161","DOIUrl":"10.3171/2019.7.SPINE19161","url":null,"abstract":"<p><p>The authors present a technical note for a prone positioning system developed to facilitate cervical extension osteotomy for ankylosing spondylitis in the presence of severe deformity and frailty. Chin-on-chest deformity represents one of the most debilitating changes of ankylosing spondylitis. Where the chin-brow angle approaches or exceeds 90°, prone positioning becomes problematic due to the fixed position of the head. Furthermore, the challenge is compounded where physiological deconditioning leads to frailty, and the side effects of medical therapies decrease muscle mass and skin quality. Conventional prone positioning equipment is not able to cater to all patients. A versatile system was developed using a 3D reconstruction to enable a positioning simulation and verification tool. The tool was used to comprehensively plan the perioperative episode, including spatial orientation and associated equipment. Three-dimensional printing was used to manufacture a bespoke positioning device that precisely matched the contours of the patient, reducing contact pressure and risk of skin injury. The authors were able to safely facilitate surgery for a patient whose deformity and frailty may otherwise have precluded this possibility. The system has potential safety and economic implications that may be of significant utility to other institutions engaging in complex spinal surgery.</p>","PeriodicalId":51245,"journal":{"name":"Communications in Numerical Methods in Engineering","volume":"18 1","pages":"229-234"},"PeriodicalIF":2.9,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73207447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimization of anastomotic configuration in CABG surgery","authors":"Y. Sui, Baosheng Ma, B. Chu, A. Qiao","doi":"10.1007/978-3-540-79039-6_29","DOIUrl":"https://doi.org/10.1007/978-3-540-79039-6_29","url":null,"abstract":"","PeriodicalId":51245,"journal":{"name":"Communications in Numerical Methods in Engineering","volume":"1 1","pages":"1097-1106"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51065389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Call for Papers: ‘Fluid-Structure Interaction in Biomedical Applications’","authors":"R. Loon, F. Vosse","doi":"10.1002/cnm.1151","DOIUrl":"https://doi.org/10.1002/cnm.1151","url":null,"abstract":"","PeriodicalId":51245,"journal":{"name":"Communications in Numerical Methods in Engineering","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51538699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non‐stationary plane problem of the successive origination of stress concentrators in a loaded body. Finite deformations and their superposition","authors":"V. Levin, A. Vershinin","doi":"10.1002/CNM.1092","DOIUrl":"https://doi.org/10.1002/CNM.1092","url":null,"abstract":"The first (for the given class of problems) results of solving non-stationary plane problems of non-simultaneous origination of holes and inclusions in a preliminary loaded solid with initial finite strains are presented and discussed. It is taken into account that the origination of a hole or an inclusion produces additional finite deformations (at least, at the vicinity of the hole) superimposed 'physically' on the finite initial ones. The problem is solved using the theory of repeated superposition of large deformations. It is supposed that the shape of stress concentrators is given at the moment of their origination. Calculations were made with the use of the specialized computer package 'Superposition' based on finite-element method. Stress fields are presented at different times. The change of maximal stresses in time is also presented.","PeriodicalId":51245,"journal":{"name":"Communications in Numerical Methods in Engineering","volume":"24 1","pages":"2229-2239"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/CNM.1092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51534571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}