Abstract
A patient with a severe kyphotic deformity presented for stereotactic radiosurgery. In the supine position with the apex of the patient's kyphosis on the treatment couch, his head and buttocks were found to be approximately 30 cm from the table. Pretreatment consultation with the physicist and engineer was arranged. By creating a modified table mount for the head ring and a custom-molded Styrofoam cradle for the patient's pelvis, radiosurgery in the supine position was carried out without difficulty or patient discomfort. We describe the technical aspects of the treatment.
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