To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Neurosurgical procedures are often performed with patients in the prone, lateral, and other non-supine positions. This creates the risk of perioperative neurologic deficit due to peripheral nerve injury (PNI). This chapter presents a case study of a 55-year-old female presented for scoliosis correction with posterior instrumentation at T5-L5. The patient was presumed to have a right brachial plexus injury and was started on dexamethasone. Neurology and physical therapy were consulted after admission to the neurosurgical intensive care unit. Vigilance with respect to positioning and appropriate padding of pressure points is critical, especially in patients with diabetes mellitus, hypertension, and a history of tobacco use. Neurophysiologic monitoring may aid in the intraoperative detection of injury and should be taken seriously. Evidence of PNI should prompt an evaluation by neurology, as well as the involvement of physical and occupational therapy.