New platform looks to revolutionise spinal surgery through reduced manual handling related injuries for carers
According to a study published in the journal Medicine, roughly 80 percent of the world’s population suffers from lower back pain caused by spinal disorders. Additionally, spinal fusion surgery is often the most utilised intervention for lower back pain and costs the NHS around £1.6 billion annually.
To address this, Hillrom has introduced the Allen© Advance Table Lateral to Prone (L2P) Platform, which has been designed with patient positioning challenges in mind.
The platform allows for simple patient movement, maximising efficiency of lateral spine procedures and pedicle screw fixation; maintaining safety of operating room staff; and improving patient outcomes.
Surgical advances with the Lateral to Prone platform
Hillrom’s table is compatible with its Lateral to Prone (L2P) platform, which provides carers with a flexing lateral support. This allows for 90-degree rotation of the patient from lateral directly into a prone position when used with the Allen© Advance Table, with locking capability. Its unique rotational capabilities also allow right and left side lateral approaches without logrolling patients.
The introduction of the L2P platform aims to tackle the challenge of patient repositioning, allowing surgeons to benefit from minimally invasive lateral spinal approaches, while maintaining time efficiencies and protecting patient and carer safety.
In addition, the platform overcomes the process of repositioning and re-draping the patient.
Benefits include:
- Secure and controlled movement of the patient
- Time savings over traditional patient movement approaches
- Fewer carers are required for intra-operative patient transfer and reduced risk of manual handling related injuries for carers
- Removing the need to swap tables in and out of the operating room, thus reducing infection rates
In cases of spinal injury, the cervical spine must be stabilised in the operating room as undue motion can put patients at risk of further injury, says Hillrom. Traditional approaches of logrolling a patient require manual stabilisation of the patient to minimise lateral spinal movement which can harm the patient.
Research from the Emergency Nurses Association suggests that overall cumulative motion to the spine can be reduced by as much as 50 percent if alternative measures to the ‘logroll’ are employed. With Hillrom’s lateral to prone approach, the 90-degree rotation can be performed in a secure and controlled manner, reducing the associated risks of cervical spine movement.
L2P in clinical use
The Lateral to Prone platform is currently in place in four NHS trusts, including the Royal National Orthopaedic Hospital (RNOH) NHS Trust, a leader in research and development of orthopaedic medicine.
The Spinal Surgery Unit at RNOH Stanmore pools the skills of multidisciplinary experts to treat a variety of spinal presentations. Consultant Orthopaedic Surgeon Robert Lee FRCS (Tr&Orth) specialises in complex spinal surgery, treating country-wide spinal referrals.
Hillrom’s L2P platform is currently being utilised by Robert to support his work in minimally invasive fusions and decompressions, with a focus on fast rehabilitation and maximum preservation of the paraspinal musculature.
He said: “At RNOH we perform complex adult reconstructive surgery involving restoration of the anterior column with cages inserted from the lateral or oblique position followed by posterior fusion.
“We have started using the Allen© Advance Table Lateral System with the lateral to prone platform for our one stage anterior/posterior cases. The L2P platform enables us to turn the patient from lateral to prone without having to logroll the patient. This has resulted in faster repositioning between stages, less danger of cage displacement and safer manual handling for the theatre staff.”
For more information or to download Hillrom’s new brochure, click here