Becker's Spine Review

15 Executive Briefing How active patient position yields long-term success As active hinge tables help surgeons achieve the appropriate lordosis, the table also assists with osteotomy closure. Tables that allow for movement can be used for cases ranging from discectomies to lumbar reconstruction procedures. By using a table that moves throughout the procedure, surgeons can achieve appropriate spinal alignment with less effort. The ProAxis Table accommodates for all lordotic positions, allowing the surgeon to use the table as an additional tool in achieving the desired outcome. Being able to adjust lordosis allows the surgeon to place the patient in the ideal position for each stage of the procedure. "When we are doing osteotomies either posterior or three columns, we can start the patient in their natural position using the ProAxis Table," said Dr. Babat. "Once we have performed the procedure, we can use the table itself to aid in the closure of the osteotomy, which decreases the risk of screw cut out. Specifically, in patients with poor bone quality, when you start pulling on the pedicle screws to try to change the position, you put a lot of force on a very small area, and it's not hard to rip the screw through a pedicle and rip the point of fixation. This can also cause acute instability on the operating room table." By achieving correct lordosis upon the completion of the initial surgery, the need for future revision and reoperation procedures may be reduced. The ProAxis Table is designed to give surgeons advanced conditions and tools in the operating room, which helps decrease the likelihood of having to revisit patients later for additional surgeries. Designed with the surgeon in mind The ProAxis table is customizable for the surgeon in addition to the patient. Surgeons can lower or raise the table depending on their height, eliminating the need to stand on stools for certain patients. "This is important in some of our larger patients where, as a surgeon, we might want to drop the foot of the table quite low for a reverse Trendelenburg," said Dr. Babat. "In larger patients, we also often have to raise the head of the table to the point where the back is higher than we would like. Surgeons then ultimately have to stand on stools. The ProAxis Table allows surgeons to drop the leg position low enough so the surgeon can stand without a stool and comfortably address the lumbar spine." Surgeons can also develop pain from poor operating table heights and surgical chairs. With proper range of motion, surgeons prevent musculoskeletal injuries and reduce risks during operation. A study in Allergy & Rhinology found surgical tables with a range of 63.5 cm to 125.7 cm and surgical stools with a range of 50.8 cm and 72.4 cm provide the greatest versatility for diverse physician height. The ProAxis and other active hinge tables allow surgeons to adjust table height throughout procedures without compromising the desired position. Surgeons can also retain more control of the patient's vitals. "The ProAxis Table makes patient positioning quick, easy and predictable. With the table, I can make easy adjustments to the operating areas and ensure safe and quick positioning of the upper extremities: arms and neck. The table also provides easy access to the endotracheal tube and easy assessment of pressure on the eyes." An active hinge table provides surgeons with ideal conditions to achieve sagittal alignment and reduce potentially damaging iatrogenic effects. The ProAxis Table combines its advanced performance features with the familiarity of the traditional open frame. "It's a table that is similar enough to a standard table that many surgeons will intuitively know how to use and position without having to relearn," said Dr. Babat. "Yet, the table also allows for more sophisticated and advanced options that an active hinge table provides." Conclusion By using a table that puts dynamic and precise positioning control in the surgeon's hands, patients can benefit from improved long- term results and satisfaction. Immersed in continuous innovation, Mizuho OSI designed the ProAxis table with both the surgeon and patient in mind. The company's desire to eliminate the need for revision operations helped create a table that promotes preservation, stabilization and visualization. n Mizuho OSI® is the leader in the markets for specialty surgery and patient positioning. The compa- ny's portfolio includes specialty surgical tables for procedure-specific approaches that improves patient outcomes in spine and orthopedic surgeries, a range of general surgical tables, pressure management solutions, and table specific patient care kits. Mizuho OSI products are sold direct in the U.S. and Germany, and by the Mizuho Corporation in Japan. Mizuho OSI is a wholly owned subsidiary of Mizuho Corporation, a leading surgical table manufacturer in Asia. The Mizuho Group also includes Trilux Medical®, a subsidiary of Mizuho OSI. Trilux Medical is a provider and manufac- turer of surgical lights, surgical pendants, operating room patient integration, video management systems, and turn-key operating room solutions. Trilux Medical products and solutions are sold direct in Germany and worldwide through authorized international distributors. More information is available at www.mizuhosi.com

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