An apparatus for supporting a patient during a medical procedure with a breaking patient support subassembly and an angulation subassembly for changing patient angulation while substantially maintaining the height of the point of angulation. The angulation assembly includes an angulation wedge with upper and lower sides and a pair of opposed upper and lower guide members that slidably engage respective upper and lower sides. The guide members each include a key guide structure that slidably engages a complementary lock guide channel in the associated wedge upper and lower sides. The apparatus includes a torso trolley joined with the angulation subassembly and adapted for moving in cephalad and caudad directions in response to upward and downward breaking of the patient support subassembly.
