Indicated for neurological procedures, it aids in the fixation and support of the skull, offers intraoperative precision and stability of the patient's head. Improved access to intracranial and cervical spine injuries, immobilizing the structures for greater comfort and accuracy in skull perforation, opening, removal and repair procedures. Mayfield support assists in the fixation of the skull, and has three fixation points that transfer the skull scalp resting directly on the bony structure of the skull cap, rigidly immobilizing the skull on the surgical table, keeping the patient's head pinned throughout the procedure. The shoehorse holder is indicated for ventral decubitus procedures, allowing adjustment of width and height.