Artigo Acesso aberto Revisado por pares

A Modification of the Mayfield Horseshoe Headrest Allowing Pin Fixation and Cranial Immobilization in Infants and Young Children

2006; Lippincott Williams & Wilkins; Volume: 58; Linguagem: Inglês

10.1227/01.neu.0000193929.11266.87

ISSN

2332-4260

Autores

Nalin Gupta,

Tópico(s)

Child Abuse and Related Trauma

Resumo

Pin fixation and rigid immobilization of the head is desirable in many neurosurgical procedures. However, these techniques are associated with complications in infants and young children. A simple modification of a commonly used cranial fixation system allows rigid, safe immobilization of the head in infants and children.A standard Mayfield horseshoe headrest and cranial fixation system was adapted to allow simultaneous use of the headrest and three-point pin fixation. The system is compatible with most neuronavigational systems.The combined horseshoe and pin system was used successfully in more than 30 patients ranging in age from 6 months to 14 years. No complications were encountered.Rigid immobilization is achievable in the pediatric population, facilitating intracranial and frameless stereotaxy procedures.

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