Expert consensus on intraoperative repositioning for patients with spine fracture and dislocation (version 2025)
- VernacularTitle:脊柱骨折脱位患者术中翻身操作规范专家共识（2025版）
- Author:
Dongmei BIAN
1
;
Ke SUN
;
Ningbo CHEN
;
Caixia BAI
;
Miao WANG
;
Yafeng QIAO
;
Fei WANG
;
Hong WANG
;
Feng TIAN
;
Mei YAN
;
Meng BAI
;
Linjuan ZHANG
;
Liyan ZHAO
;
Yaqing CUI
;
Xue JIANG
;
Leling FENG
;
Ning NING
;
Junqin DING
;
Lan WEI
;
Yonghua ZHAI
;
Yu ZENG
;
Zengmei ZHANG
;
Jiqun HE
;
Fenggui BIE
;
Hong CHEN
;
Zengyan WANG
;
Li LI
;
Li ZHANG
;
Yaying ZHOU
;
Bing SHAO
;
Ying WANG
;
Caixia XIE
;
Yanfeng YAO
;
Jingjing AN
;
Wen SHI
;
Xiongtao LIU
;
Xiaoyan AN
;
Ning NAN
;
Lan LI
;
Xiaohui GOU
;
Qiaomei LI
;
Xiuting WU
;
Yuqin ZHANG
;
Jing LIU
;
Fusen XIANG
;
Xu XU
;
Na MEI
;
Jiao ZHOU
;
Shan FAN
;
Qian WANG
;
Shuixia LI
Author Information
- Publication Type:Journal Article
- Keywords: Spinal fractures; Posture; Prone position; Operations
- From: Chinese Journal of Trauma 2025;41(2):138-147
- CountryChina
- Language:Chinese
- Abstract: Spine fracture and dislocation are common traumatic spinal conditions that often require surgical intervention due to compromised spinal stability. Surgical approaches include anterior, posterior, and combined anterior-posterior spinal procedures. According to the specific surgical requirements, patients may be placed in the prone position or repositioned between prone and supine positions during surgery. Intraoperative repositioning has become an essential step in patient positioning. However, during repositioning, patients with spinal fracture and dislocation are at increased risk for complications such as hemodynamic instability, nerve injury, and pressure injuries to the skin and soft tissue. Notably, due to the instability of the spinal cord, even minor manipulations can further exacerbate the damage, potentially leading to severe outcomes like paraplegia. Although the current clinical guidelines provide instructive recommendations for standard position, there remains no specific protocols for intraoperative repositioning in patients with spine fracture and dislocation. With a concern for the lack of clinical studies on positioning techniques, risk prevention, and operational norms for special patients, no applicable guidelines or standards are available. A consensus was required to provide clinical reference, meet the requirements of surgical treatment, and minimize the safety risks of patients caused by improper placement of positions. Professional Committee of Operating Room Nursing of Shaanxi Nursing Association organized experts in nursing management and operating room nursing from major hospitals across China to formulate Expert consensus on intraoperative repositioning for patients with spinal fracture and dislocation ( version 2025). The consensus provides 11 recommendations covering pre-repositioning preparation, intraoperative maneuvers, and post-repositioning observation, aiming to provide references for clinical standardization of the intraoperative repositioning process and protection of patients′ safety.
