For laminectomy, how are rolls or bolsters placed?

For laminectomy, how are rolls or bolsters placed?

• A. Perpendicular to the spine
• B. Longitudinally to support the chest from axilla to hip
• C. Under the knees
• D. Across the abdomen

Answer: (B)

In this prone position, Rolls or bolsters are placed longitudinally along the chest from the axilla to the hip. This setup supports the thorax evenly along its length, keeps the abdomen free to hang, and helps maintain good ventilation and spinal alignment. By supporting the chest in a long, side-to-side fashion, you avoid compressing the abdomen, which would raise intra-abdominal pressure and venous pressure at the surgical site. Perpendicular supports would press into the chest and hinder breathing, while placing supports under the knees or across the abdomen would not provide the necessary chest support and could hinder ventilation or increase abdominal compression.

In this prone position, Rolls or bolsters are placed longitudinally along the chest from the axilla to the hip. This setup supports the thorax evenly along its length, keeps the abdomen free to hang, and helps maintain good ventilation and spinal alignment. By supporting the chest in a long, side-to-side fashion, you avoid compressing the abdomen, which would raise intra-abdominal pressure and venous pressure at the surgical site. Perpendicular supports would press into the chest and hinder breathing, while placing supports under the knees or across the abdomen would not provide the necessary chest support and could hinder ventilation or increase abdominal compression.