Frame and patient support, and surgical methods using same
The present disclosure relates to a frame and patient support, and surgical methods using the frame and patient support. The frame and patient support can be used to support and manipulate the patient prior to, during, and after surgery to articulate the patient's body to facilitate stabilization of the patient's spine. The frame and patient support can be configured for rotation about a rotational axis, and the frame and patient support can include a lower-leg-support, an upper-leg-support, a pelvic-support, a torso-support, and a head-and-arm support for supporting corresponding portions of the patient's body.
1 . A method of utilizing a frame and patient support to articulate portions of a body of a patient, the method comprising:
providing the frame and patient support, the frame and patient support including a frame portion having a first end, an opposite second end, a mid-longitudinal axis extending through the first end and the second end, and a length along the mid-longitudinal axis between the first end and the second end, and a plurality of patient support portions attached relative the frame portion;
rotatably supporting the first end of the frame portion by a first vertical support portion, and rotatably supporting the second end of the frame and patient support by a second vertical support portion;
supporting one of portions of lower legs of the patient and portions of upper legs of the patient with a corresponding one of a lower-leg-support portion of the patient support portions movably attached relative to the frame portion and an upper-leg-support portion of the patient support portions movably attached relative to the frame portion;
supporting portions of a pelvic area of the patient with a pelvic-support portion of the patient support portions movably attached to the frame portion, and the pelvic support portion including a first pad portion and a second pad portion supported by the pelvic-support portion and spaced apart from one another, the first pad portion being configured to contact a first lateral portion of the pelvic area of the patient, the second pad portion being configured to contact a second lateral portion of the pelvic area of the patient, the first pad portion and second pad portion being independently movable inwardly and outwardly relative to one another, and independently movable in directions aligned with the mid-longitudinal axis;
supporting portions of a torso area of the patient with a torso-support portion of the patient support portions movably attached relative to the frame portion;
supporting one of portions of a head of the patient with a head support portion of the patient support portions and portions of arms of the patient with an arm support portion of the patient support portions, at least one of the head support portion and the arm support portion being movably attached relative to the frame portion;
at least one of adjusting a position of the pelvic-support portion relative to the frame portion to generally accommodate a height of the patient, and adjusting a position of one or more pad portions of the pelvic-support portion to accommodate specific anatomy of the patient; and
at least one of adjusting a position of the torso-support portion relative to the frame portion to generally accommodate the height of the patient, and adjusting a position of one or more pad portions of the torso-support portion to accommodate the specific anatomy of the patient;
wherein at least a portion of the pelvic-support portion is received in a first interior portion of the frame portion, the at least a portion of the pelvic-support portion supports remaining portions of the pelvic-support portion, including the first pad portion and the second pad portion, and at least a portion of the torso-support portion is received in a second interior portion of the frame portion, and interaction of the at least a portion of the pelvic-support portion with the first interior portion and interaction of the at least a portion of the torso-support portion with the second interior portion serves in counteracting moments of inertia caused by the supporting of the portions of the pelvic area of the patient and the supporting of the portions of the torso area of the patient.
2 . The method of claim 1 , wherein an outer portion of the pelvic-support portion extends from a first exterior portion of the frame portion through a first slot formed in the frame portion and is attached to the at least a portion of the pelvic-support received in the first interior portion of the frame portion, and an outer portion of the torso-support portion extends from a second exterior portion of the frame portion through a second slot formed in the frame portion and is attached to the at least a portion of the torso-support portion received in the second interior portion of the frame portion.
3 . The method of claim 2 , wherein the outer portion of the pelvic-support portion extending through the first slot is slidable therein to facilitate movement of the pelvic-support portion in a first direction aligned with the mid-longitudinal axis, and the outer portion of the torso-support portion extending through the second slot is slidable therein to facilitate movement of the torso-support portion in a second direction aligned with the mid-longitudinal axis.
4 . The method of claim of 3 , further comprising sliding the pelvic-support portion relative to the frame portion via the slidable movement in the first slot, and sliding the torso-support portion relative to the frame portion via the slidable movement in the second slot.
5 . The method of claim 4 , wherein the sliding of the pelvic-support portion relative to the frame portion and the sliding of the torso-support portion relative to the frame portion are independent of one another.
6 . The method of claim 1 , wherein independent movement of the first pad portion and the second pad portion of the pelvic-support portion is one of in directions aligned with the mid-longitudinal axis of the frame portion and rotation relative to one another and the frame portion.
7 . The method of claim 1 , wherein the one or more pad portions of the torso-support portion includes a third pad portion and a fourth pad portion, and further comprising moving the third pad portion and the fourth pad portion of the torso-support portion independently of one another relative to the frame portion.
8 . The method of claim 7 , wherein independent movement of the third pad portion and the fourth pad portion of the torso-support portion is one of in directions aligned with the mid-longitudinal axis of the frame portion and rotation relative to one another and the frame portion.
9 . The method of claim 1 , wherein the frame portion includes a first portion extending at least in part in a direction aligned with the mid-longitudinal axis, the frame portion includes a second portion extending at least in part in a direction aligned with the mid-longitudinal axis, the first portion and the second portion of the frame portion are offset from one another, the one of the head support portion and the arm support portion is movably attached the first portion of the frame portion, and the pelvic-support portion and the torso-support portion are movably attached to the second portion of the frame portion.
10 . A method of utilizing a frame and patient support to articulate portions of a body of a patient, the method comprising:
providing the frame and patient support, the frame and patient support including a frame portion having a first end, an opposite second end, a mid-longitudinal axis extending through the first end and the second end, and a length along the mid-longitudinal axis between the first end and the second end, and a plurality of patient support portions attached relative the frame portion;
supporting one of portions of lower legs of the patient and portions of upper legs of the patient with a corresponding one of a lower-leg-support portion of the patient support portions movably attached relative to the frame portion and an upper-leg-support portion of the patient support portions movably attached relative to the frame portion;
supporting portions of a pelvic area of the patient with a pelvic-support portion of the patient support portions movably attached relative to the frame portion via receipt of a first portion of the pelvic-support portion within a first interior portion of the frame portion, the first portion of the pelvic-support portion supports remaining portions of the pelvic-support portion, including a first pad portion and a second pad portion, and slidable movement of a second portion of the pelvic-support portion extending from the first interior portion to an exterior of the frame portion in a first slot formed in the frame portion, and including the first pad portion and the second pad portion supported by the remaining portions of the pelvic-support portion and spaced apart from one another, the first pad portion being configured to contact a first lateral portion of the pelvic area of the patient, the second pad portion being configured to contact a second lateral portion of the pelvic area of the patient, the first pad portion and second pad portion being independently movable inwardly and outwardly relative to one another, and independently movable in directions aligned with the mid-longitudinal axis;
supporting portions of a torso area of the patient with a torso-support portion of the patient support portions movably attached relative to the frame portion via receipt of a first portion of the torso-support portion within a second interior portion of the frame portion, and slidable movement of a second portion of the pelvic-support portion extending from the second interior portion to the exterior portion of the frame portion in a second slot formed in the frame portion;
supporting one of portions of a head of the patient with a head support portion of the patient support portions and portions of arms of the patient with an arm support portion of the patient support portions, at least one of the head support portion and the arm support portion being movably attached relative to the frame portion;
at least one of adjusting a position of the pelvic-support portion relative to the frame portion to generally accommodate a height of the patient, and adjusting a position of one or more pad portions of the pelvic-support portion to accommodate specific anatomy of the patient; and
at least one of adjusting a position of the torso-support portion relative to the frame portion to generally accommodate the height of the patient, and adjusting a position of one or more pad portions of the torso-support portion to accommodate the specific anatomy of the patient;
wherein interaction of the at least a portion of the pelvic-support portion with the first interior portion and interaction of the at least a portion of the torso-support portion with the second interior portion serves in counteracting moments of inertia caused by the supporting of the portions of the pelvic area of the patient and the supporting of the portions of the torso area of the patient.
11 . The method of claim 10 , wherein the second portion of the pelvic-support portion is slidable in the first slot to facilitate movement of the pelvic-support portion in a first direction aligned with the mid-longitudinal axis, and the second portion of the torso-support portion is slidable in the second slot to facilitate movement of the torso-support portion in a second direction aligned with the mid-longitudinal axis.
12 . The method of claim of 11 , further comprising sliding the pelvic-support portion relative to the frame portion via the slidable movement in the first slot, and sliding the torso-support portion relative to the frame portion via the slidable movement in the second slot, the sliding of the pelvic-support portion relative to the frame portion and the sliding of the torso-support portion relative to the frame portion are independent of one another.
13 . The method of claim 10 , wherein independent movement of the first pad portion and the second pad portion of the pelvic-support portion is one of in directions aligned with the mid-longitudinal axis of the frame portion and rotation relative to one another and the frame portion.
14 . The method of claim 10 , wherein the one or more pad portions of the torso-support portion includes a first pad portion and a second pad portion, and further comprising moving the first pad portion and the second pad portion of the torso-support portion independently of one another relative to the frame portion.
15 . The method of claim 14 , wherein independent movement of the first pad portion and the second pad portion of the torso-support portion is one of in directions aligned with the mid-longitudinal axis of the frame portion and rotation relative to one another and the frame portion.
16 . A method of utilizing a frame and patient support to articulate portions of a body of a patient, the method comprising:
providing the frame and patient support, the frame and patient support including a frame portion having a first end, an opposite second end, a mid-longitudinal axis extending through the first end and the second end, and a length along the mid-longitudinal axis between the first end and the second end, and a plurality of patient support portions attached relative the frame portion;
supporting one of portions of lower legs of the patient and portions of upper legs of the patient with a corresponding one of a lower-leg-support portion of the patient support portions movably attached relative to the frame portion and an upper-leg-support portion of the patient support portions movably attached relative to the frame portion;
supporting portions of a pelvic area of the patient with a pelvic-support portion of the patient support portions movably attached relative to the frame portion via receipt of a first portion of the pelvic-support portion within a first interior portion of the frame portion, the first portion of the pelvic-support portion supports remaining portions of the pelvic-support portion, including a first pad portion and a second pad portion and slidable movement of a second portion of the pelvic-support portion extending from the first interior portion to an exterior of the frame portion in a first slot formed in the frame portion and the pelvic-support portion includes the first pad portion and the second pad portion supported by the pelvic-support portion and spaced apart from one another, the first pad portion being configured to contact a first lateral portion of the pelvic area of the patient, the second pad portion being configured to contact a second lateral portion of the pelvic area of the patient, the first pad portion and second pad portion being independently movable inwardly and outwardly relative to one another, and independently movable in directions aligned with the mid-longitudinal axis;
supporting portions of a torso area of the patient with a torso-support portion of the patient support portions movably attached relative to the frame portion via receipt of a first portion of the torso-support portion within a second interior portion of the frame portion, and slidable movement of a second portion of the pelvic-support portion extending from the second interior portion to the exterior portion of the frame portion in a second slot formed in the frame portion;
supporting one of portions of a head of the patient with a head support portion of the patient support portions and portions of arms of the patient with an arm support portion of the patient support portions, at least one of the head support portion and the arm support portion being movably attached relative to the frame portion;
at least one of adjusting a position of the pelvic-support portion relative to the frame portion to generally accommodate a height of the patient, and independently adjusting a position of a first pad portion and a second pad portion of the pelvic-support portion in at least one of in directions aligned with the mid-longitudinal axis and rotationally to accommodate specific anatomy of the patient; and
at least one of adjusting a position of the torso-support portion relative to the frame portion to generally accommodate the height of the patient, and independently adjusting a position of a first pad portion and a second pad portion of the torso-support portion in at least one of in directions aligned with the mid-longitudinal axis and rotationally to accommodate the specific anatomy of the patient;
wherein interaction of the at least a portion of the pelvic-support portion with the first interior portion and interaction of the at least a portion of the torso-support portion with the second interior portion serves in counteracting moments of inertia caused by the supporting of the portions of the pelvic area of the patient and the supporting of the portions of the torso area of the patient.
17 . The method of claim 16 , wherein the second portion of the pelvic-support portion is slidable in the first slot to facilitate movement of the pelvic-support portion in a first direction aligned with the mid-longitudinal axis, and the second portion of the torso-support portion is slidable in the second slot to facilitate movement of the torso-support portion in a second direction aligned with the mid-longitudinal axis.
18 . The method of claim of 17 , further comprising sliding the pelvic-support portion relative to the frame portion via the slidable movement in the first slot, and sliding the torso-support portion relative to the frame portion via the slidable movement in the second slot, the sliding of the pelvic-support portion relative to the frame portion and the sliding of the torso-support portion relative to the frame portion are independent of one another.