{"id":"83b6c654-3316-4459-9a70-bd607bcceee6","slug":"method-for-securing-titanium-cerebellar-retractors","title":"Method for securing titanium cerebellar retractors","authors":["Lindsay J. Lipinski","Regis G. Hoppenot","Robert A. Fenstermaker","Andrew J. Fabiano"],"abstract":"Background: Traditional stainless steel retractors can interfere with electromagnetic neuronavigation and intraoperative magnetic resonance imaging (ioMRI). In such cases, titanium instruments are frequently used; however, they often shift during the procedure. The authors describe a simple technique, illustrated with intraoperative photographs, for securing titanium cerebellar retractors into place to keep both the retractors and tissues in their desired locations throughout a craniotomy. Methods: Titanium retractors were used by our institute's neurosurgical service during operations utilizing electromagnetic neuronavigation or ioMRI. Once the retractor was in the desired position, a 2-0 silk suture was placed around a retractor tong and tied outside the skin. Two sutures were placed on either side of the titanium retractor in the same fashion. Results: Retractors were subsequently noted to remain in their desired position throughout the operative procedure. Conclusions: The authors describe a technique for securing titanium cerebellar retractors into their desired position during a craniotomy to minimize their movement during the procedure. This simple technique can help to eliminate a potential frequent source of surgeon frustration, and has proven to be quick to perform, safe, and practicable.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/83b6c654-3316-4459-9a70-bd607bcceee6/featured/hero-1782421015378.png","publishDate":"2013-11-14T00:00:00.000Z","doi":"10.4103/2152-7806.121404","categories":["Original Article"],"fullTextUrl":"http://sni.wpengine.com/wp-content/uploads/2015/05/3832/SNI-4-146.pdf"}