Pinning in pediatric neurosurgery: The modified rubber stopper technique

Melissa A. LoPresti, Joshua Nguyen, Sandi K. Lam

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Head immobilization devices with skull pins are commonly used by neurosurgeons to stabilize the head for microsurgical techniques and to maintain accurate intraoperative neuronavigation. Pediatric patients, who may have open fontanelles, unfused sutures, and thin skulls, are vulnerable to complications during placement in pins. We review the various methods of pinning in pediatric neurosurgery and revisit the modified rubber stopper technique using a commonly available rubber stopper from a medication bottle over a standard adult pin of a Mayfield head clamp to prevent the pins from plunging through the thin pediatric skull.

Original languageEnglish (US)
Pages (from-to)98-103
Number of pages6
JournalJournal of Neurosurgery: Pediatrics
Issue number1
StatePublished - Jul 2020


  • Cranial fixation
  • Head frame
  • Head immobilization device
  • Mayfield
  • Pediatric neurosurgery
  • Pinning
  • Surgical technique

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


Dive into the research topics of 'Pinning in pediatric neurosurgery: The modified rubber stopper technique'. Together they form a unique fingerprint.

Cite this