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Child's Nervous System
Erschienen in: Child's Nervous System 3/2019

04.01.2019 | Original Article

Prone versus sitting position in pediatric low-grade posterior fossa tumors

verfasst von: Valentina Baro, Riccardo Lavezzo, Elisabetta Marton, Pierluigi Longatti, Andrea Landi, Luca Denaro, Domenico d’Avella

Erschienen in: Child's Nervous System | Ausgabe 3/2019

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Abstract

Purpose

The choice between sitting and prone position to access the infratentorial space in a suboccipital craniotomy is still a matter of debate. The comparisons in terms of complications and outcome of both positions are scarce, and the pediatric population is indeed more infrequent in these in scientific reviews. In this paper, we assess intraoperative and postoperative complications and neurological outcome in pediatric patients undergoing posterior cranial fossa surgery for pilocytic astrocytoma in sitting and prone position respectively.

Methods

We retrospectively analyzed 30 consecutive patients undergoing surgery for cerebellar pilocytic astrocytoma at the two neurosurgical units referring to the University of Padova Medical School from 1999 to 2017. Preoperative, intraoperative, and postoperative data were retrieved from our medical archives.

Results

The statistical analysis did not show any differences between the two groups in terms of preoperative, intraoperative, and postoperative data. The neurological status at last follow-up was similar in both groups of patients.

Conclusions

Our results suggest that both sitting and prone position can be considered safe in suboccipital craniotomies. Further studies are needed to show if there are possible differences between these positions for other frequent pediatric tumors such as medulloblastomas and ependymomas.
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Metadaten
Titel
Prone versus sitting position in pediatric low-grade posterior fossa tumors
verfasst von
Valentina Baro
Riccardo Lavezzo
Elisabetta Marton
Pierluigi Longatti
Andrea Landi
Luca Denaro
Domenico d’Avella
Publikationsdatum
04.01.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 3/2019
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-018-04031-w

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