Anterior Lumbar
• The patient is positioned with his or her arms across the chest. This allows for the c-arm to be moved cephalad in the field. A lateral c -arm is essential for localization and implant placement.
• Additionally, the table can be positioned with the head lower than the feet, allowing the abdominal contents to fall away from the operative field.
– A bump may be placed under the sacrum to increase lordosis.
Lateral Thoracic/Lumbar
• The patient is positioned on a regular operating room table with a bump underneath the affected level. The patient is also positioned with the operative site over the break in the bed, allowing the patient to be maximally flexed at the surgical level.