{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T18:33:49Z","timestamp":1775500429012,"version":"3.50.1"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:p>Sacral neoplasm resection is managed via partial or total sacrectomy that is performed via the Kraske approach. The combination of the patients positioning and the relatively long operative time required for this procedure increase the risk of pressure ulcers. Facial pressure ulcers can cause tissue necrosis and\/or ulceration in a highly visible area, leading to a cosmetically disfiguring lesion. Here, the authors report the use of a Mayfield clamp in the positioning of patients undergoing sacral tumor resection to prevent facial pressure ulceration. After the patient is placed prone in the Kraske or Jackknife position, the hips and knees are flexed with arms to the side. Then while in the prone position, the patient is physically placed in pins, and the Mayfield clamp is fixated at the center of the metal arch via the Mayfield sitting adapter to the Andrews frame, suspending the head (and face) over the table. The authors find that this technique prevents the development of facial pressure ulcers, and it has the potential to be used in patients positioned in the Kraske position for other surgical procedures.<\/jats:p>","DOI":"10.3171\/2010.9.spine09516","type":"journal-article","created":{"date-parts":[[2010,12,8]],"date-time":"2010-12-08T20:26:54Z","timestamp":1291840014000},"page":"85-87","source":"Crossref","is-referenced-by-count":16,"title":["Prevention of facial pressure ulcers using the Mayfield clamp for sacral tumor resection"],"prefix":"10.3171","volume":"14","author":[{"given":"C. Rory","family":"Goodwin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo F.","family":"Recinos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Omeis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric N.","family":"Momin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy F.","family":"Witham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Bydon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziya L.","family":"Gokaslan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Paul","family":"Wolinsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine09516","series-title":"Ann Surg","first-page":"371","article-title":"Kraske on Cancer of the Rectum","volume":"26","author":"Anonymous","year":"1897"},{"key":"b2-spine09516","series-title":"Standards, Recommended Practices and Guidelines","first-page":"497","article-title":"Recommended practices for positioning the patient in the perioperative practice setting","author":"Association of periOperative Registered Nurses","year":"2008"},{"key":"b3-spine09516","series-title":"Wound Care Essentials: Practice Principles","first-page":"254","article-title":"Pressure ulcers","author":"Ayello","year":"2007"},{"key":"b4-spine09516","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1097\/00000542-198410000-00017","article-title":"Complications of the Mayfield skull clamp","volume":"61","author":"Baerts","year":"1984"},{"key":"b5-spine09516","series-title":"Lumbosacral and Spinopelvic Fixation","first-page":"109","article-title":"Management of tumors at the lumbosacral junction","author":"Bridwell","year":"1996"},{"key":"b6-spine09516","series-title":"Spinal Cord and Spinal Column Tumors: Principles and Practice","first-page":"632","article-title":"Surgical approaches for the resection of sacral tumors","author":"Fourney","year":"2006"},{"key":"b7-spine09516","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"111","DOI":"10.3171\/spi.2005.3.2.0111","article-title":"En bloc resection of primary sacral tumors: classification of surgical approaches and outcome","volume":"3","author":"Fourney","year":"2005"},{"key":"b8-spine09516","series-title":"Verh Otsch Gs Chir","first-page":"464","article-title":"Zur extirpation hochsitzenden mastdarmkrebs verhandl deutch gesellsch","volume":"14","author":"Kraske","year":"1885"},{"key":"b9-spine09516","series-title":"Ear Nose Throat J","first-page":"E1","article-title":"CSF rhinorrhea secondary to use of a Mayfield head clamp","volume":"87","author":"Moumoulidis","year":"2008"},{"key":"b10-spine09516","series-title":"Spine Surgery: Techniques, Complication Avoidance, and Management","first-page":"741","article-title":"Sacral lesions","volume":"1","author":"Smith","year":"1999"},{"key":"b11-spine09516","series-title":"AORN J","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1016\/j.aorn.2008.12.022","article-title":"Prevention of pressure ulcers in the surgical patient","volume":"89","author":"Walton-Geer","year":"2009"},{"issue":"2","key":"b12-spine09516","series-title":"Neurosurg Focus","first-page":"E5","article-title":"Surgical techniques for total sacrectomy and spinopelvic reconstruction","volume":"15","author":"Zhang","year":"2003"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/14\/1\/article-p85.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/14\/1\/article-p85.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/14\/1\/article-p85.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T22:12:44Z","timestamp":1681596764000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/14\/1\/article-p85.xml"}},"subtitle":["Technical note"],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":12,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2010.9.spine09516","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}