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Prone Transpsoas Approach for Adult Spondylolisthesis

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Spondylolisthesis

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Abstract

For the past decade, minimally invasive lateral transpsoas lumbar interbody fusion has gained substantial popularity among spine surgeons as a rapid and safe approach to the anterior column to achieve arthrodesis. Spondylolisthesis is one of the main indications for this surgical approach. However, barriers to its more widespread adoption include the need for repositioning the patient for pedicle screw placement, resulting in increased operative time. The prone transpsoas approach was born in an attempt to circumvent the shortcomings of the otherwise effective lateral technique. Since its published first report in 2020, the prone transpsoas approach has been shown to be technically feasible and effective for the surgical treatment of spondylolisthesis. Despite the theoretical and practical advantages of the prone approach, this technique has challenged surgeons with technical nuances that present opportunities to further advance this novel approach. In this chapter, we introduce the technical nuances, advantages, and disadvantages of the prone transpsoas approach.

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Abbreviations

LLIF:

Lateral lumbar interbody fusion

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Acknowledgements

We thank the staff of the Neuroscience Publications department at Barrow Neurological Institute for assistance with manuscript preparation.

Author information

Authors and Affiliations

  1. Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Nima Alan

  2. Department of Neurosurgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA

    Juan S. Uribe

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  1. Nima Alan
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  2. Juan S. Uribe
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Corresponding author

Correspondence to Juan S. Uribe .

Editor information

Editors and Affiliations

  1. Stryker Spine, Brookfield, CT, USA

    Adam L. Wollowick

  2. Department of Orthopedic Surgery, Northwell Health, New Hyde Park, NY, USA

    Vishal Sarwahi

Ethics declarations

 Dr. Uribe serves as a consultant for Viseon, Inc. (Irvine, CA); Misonix, Inc. (Farmingdale, NY); SI-BONE (Santa Clara, CA); and NuVasive, Inc. (San Diego, CA). He receives royalties from SI-BONE and royalties, stock/stock options, and research support from NuVasive.

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Alan, N., Uribe, J.S. (2023). Prone Transpsoas Approach for Adult Spondylolisthesis. In: Wollowick, A.L., Sarwahi, V. (eds) Spondylolisthesis. Springer, Cham. https://doi.org/10.1007/978-3-031-27253-0_19

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  • DOI: https://doi.org/10.1007/978-3-031-27253-0_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-27252-3

  • Online ISBN: 978-3-031-27253-0

  • eBook Packages: MedicineMedicine (R0)

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