Use of a Tilting Orthopedic Fracture Table to Facilitate Proper Patient Positioning During Intrathecal Neurolysis With Hyperbaric Phenol: A Case Report

A A Case Rep. 2017 Sep 15;9(6):164-168. doi: 10.1213/XAA.0000000000000556.


We describe the case of a 41-year-old woman with metastatic cervical cancer and a large mass eroding into the pelvis and left lumbosacral plexus. The patient had intractable left lower extremity pain refractory to standard therapies, and she elected to undergo intrathecal neurolysis. A diagnostic intrathecal block was performed at the T11-12 interspace followed by intrathecal neurolysis with 6% phenol in glycerin on a subsequent date. During both procedures, we used a tilting radiolucent orthopedic fracture table to maintain strict left lateral-supine positioning. A tilting orthopedic fracture table may be a valuable adjunct to ensure positional stability during intrathecal neurolysis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, Spinal
  • Female
  • Humans
  • Neoplasm Metastasis
  • Nerve Block / instrumentation*
  • Nerve Block / methods
  • Pain, Intractable / therapy*
  • Patient Positioning
  • Phenol / administration & dosage*
  • Treatment Outcome
  • Uterine Cervical Neoplasms / complications*


  • Phenol