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Ergonomics in the Operating Room: The Cervicospinal Health of Today’s Surgeons

Fisher, Sean M., M.D.; Teven, Chad M., M.D.; Song, David H., M.D., M.B.A.

Plastic and Reconstructive Surgery: November 2018 - Volume 142 - Issue 5 - p 1380-1387
doi: 10.1097/PRS.0000000000004923
Plastic Surgery Focus: Special Topics
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Patient Safety CME

Summary: In its many forms, operating can lead surgeons to adopt postures that have damaging long-term effects on physical health through imparting musculoskeletal fatigue. One area that is particularly susceptible is the cervical spine, as surgeons are forced into positions that require sustained cervical hyperflexion. The repercussions of resultant injuries can be steep, as they have the potential to adversely affect one’s operative capacity. The purpose of this article is to assess the spinal health of today’s surgeons by evaluating available research in various surgical subspecialties. By focusing on the ergonomic principles that govern the surgical arena and identifying unifying themes between plastic surgery and other surgical subspecialties, it is the goal of this article to enhance the understanding of cervical spine health as it pertains to the plastic and reconstructive surgeon.

Patient Safety CME.

Seattle, Wash.; Chicago, Ill.; and Washington D.C.

From the Section of Plastic and Reconstructive Surgery, University of Washington Medicine; the Section of Plastic and Reconstructive Surgery, University of Chicago Medicine; and the Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital.

Received for publication November 7, 2017; accepted April 26, 2018.

Disclosure:None of the authors has any commercial associations or financial relationships that might create a conflict of interest with the work presented in this article.

By reading this article, you are entitled to claim one (1) hour of Category 2 Patient Safety Credit. ASPS members can claim this credit by logging in to PlasticSurgery.org Dashboard, clicking “Submit CME,” and completing the form.

David H. Song, M.D., M.B.A., Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Washington, D.C. 20007

Copyright © 2018 by the American Society of Plastic Surgeons