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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 8(02): 123-125
DOI: 10.1055/s-0040-1715356
Commentary

Modified Prone Positioning during Neurosurgery: Sphinx and Concorde Positions Revisited

Deep Sengupta
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Surya K. Dube
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Vanitha Rajagopalan
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Girija P. Rath
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
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Neurosurgical procedures involve various patient positions such as supine, prone, lateral, and sitting position. Prone positioning is routinely used in neurosurgical practice to obtain access to posterior neuroanatomical structures like the posterior fossa or suboccipital region.[1] Sphinx and Concorde positions are modifications of the conventional prone position that are practiced less commonly in neurosurgery, probably because it requires neuroanesthesiologists and neurosurgeons, who are familiar with these positions, and more manpower, skills, and expertise to achieve the final positioning. Since these two positions are less commonly encountered in neuroanesthesiology practice, reports about these two positions in neuroanesthesiology literature are scarce. So, we have tried to review the indications, positioning method in the operating room, advantages, and disadvantages of these modified prone positions, with further modifications added to the classical methods described earlier to further facilitate the surgical practice and perioperative care.



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Artikel online veröffentlicht:
10. August 2020

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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