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Positioning of head and neck post - ACDF during lumbar laminectomy

What head and neck position has worked for you in this situation? I had a 2-level ACDF in Aug 2012. I now need a laminectomy at L1-2 and just found out the surgery will be scheduled the week after next. My surgeon is not comfortable with regional anesthesia. My neurologist suggested that I find a position that will protect my neck. Any suggestions?

Laminectomy L1-2 scheduled for last week of June 2013
Left shoulder surgery 12/27/12
ACDF C5-7 8/6/12
PLIF L2-5 2003, 2005, 2008
PLIF L1-3 6/13
ACDF (C5-7) 8/12
PLIF (L2-5) 2003/05/08


  • what you mean by position in this case? i had a 2 level ACDF in September 2011. I then had l5-s1 fused in June 2012. there was never any discussion of neck position relating to my lumbar surgery. They have positioning equipment to use during lumbar surgeries. Basically put you to sleep on your back, then flip you over to your stomach on this weird contraption that bends your back so they can work on it. you head is resting in a specialized opening that is padded. Afterward you wake up on your back. I had no issues with my neck after the lumbar fusion, or at least nothing i didn't have beforehand.
    Microdisectomy / hemi-laminectomy 6/2010 and revision 10/2010
    Cervical fusion C4-5 and C5-6 9/2011
    Lumbar Fusion L5-S1 6/2012
  • bookcatbbookcat United States Posts: 66
    Thank you for that info. There apparently is a great deal of flexibility in the adjustments that can be made to the positioning mechanics/equipment. The anesthesiologist to whom I spoke suggested that I find the most comfortable way of lying on my stomach and they would do their best to replicate it during the surgery. I asked the question figuring other people might have done something similar. It's good to know you did not exacerbate your neck issues after your lumbar fusions.

    PLIF L1-3 6/13
    ACDF (C5-7) 8/12
    PLIF (L2-5) 2003/05/08
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