A retractor clamp is provided for a low profile retractor system including a spreader including first and second arms joined by a cross-bar. The first and second arms define an arm level. The refractor clamp includes a gripping assembly, a main body, an extension arm, a retractor blade arm, and a securement assembly. The refractor clamp is movably and securably joined along the at least one of the first arm, second arm, and cross-bar at substantially the arm level. The refractor blade arm is joined to the main body by the extension arm, and is positioned at a refractor blade arm level above the arm level. The refractor blade arm accepts a blade clamp. The securement assembly includes an adjustment member accessible by an operator substantially at the arm level. The securement assembly is operatively connected to the gripping assembly.
