Abstract
There are many surgical approaches to the lumbar spine, and techniques are constantly evolving. Anterior and lateral approaches have gained popularity in recent years for several reasons. Lateral approaches are traditionally performed with the patient in the lateral position, which requires repositioning for posterior instrumentation. Recent focus on single-position lateral approaches has gained traction due to less operating room (OR) time. Single-position lateral surgery involves either posterior instrumentation while in the lateral position or lateral interbody fusion while the patient is in the prone position. This chapter focuses on the latter. Prone lateral interbody fusion has several advantages over traditional lateral surgery as well as single-position lateral surgery with the patient in the lateral position. Here, we discuss the operative technique, advantages, and disadvantages of prone lateral interbody fusion.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Godzik J, et al. Single-position prone lateral approach: cadaveric feasibility study and early clinical experience. Neurosurg Focus. 2020;49(3):E15.
Pimenta L, Taylor WR, Stone LE, Wali AR, Santiago-Dieppa DR. Prone transpsoas technique for simultaneous single-position access to the anterior and posterior lumbar spine. Oper Neurosurg (Hagerstown). 2020;20(1):E5–E12.
Blizzard DJ, Thomas JA. MIS single-position lateral and oblique lateral lumbar interbody fusion and bilateral pedicle screw fixation: feasibility and perioperative results. Spine. 2018;34:440–6.
Sellin JN, Mayer RR, Hoffman m, Ropper AE. Simultaneous lateral interbody fusion and pedicle screws (SLIPS) with CT-guided navigation. Clin Neurol Neurosurg. 2018;175:91–7.
Ozgur BM, et al. Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6:435.
Peterson MD, Nelson LM, McManus AC, Jackson RP. The effect of operative position on lumbar lordosis: a radiographic of patients under anesthesia in the prone and 90-90 positions. Spine. 1995;20:1419–24.
Glassman SD, Berven S, Bridwell K, et al. Correlation of radio- graphic parameters and clinical symptoms in adult scoliosis. Spine. 2005;30:682–8.
Amaral R, Daher MT, Pratali R, Arnoni D, Pokorny G, Rodrigues R, Batista M, Fortuna PP, Pimenta L, Herrero CF. The effect of patient position on psoas morphology and in lumbar lordosis. World Neurosurg. 2021;153:e131–40. https://doi.org/10.1016/j.wneu.2021.06.067. Epub 2021 Jun 22.
Callahan RA, Brown MD. Positioning techniques in spinal surgery. Clin Orthop. 1981;154:22–6.
Alluri R, Clark N, Sheha E, Shafi K, Geiselmann M, Kim HJ, Qureshi S, Dowdell J. Location of the femoral nerve in the lateral decubitus versus prone position. Glob Spine J. 2021;13:1765.
Pimenta L, Pokorny G, Amaral R, Ditty B, Batista M, Moriguchi R, Filho FM, Taylor WR. Single-position prone transpsoas lateral interbody fusion including L4L5: early postoperative outcomes. World Neurosurg. 2021;149:e664–8. Epub 2021 Feb 4
Lamartina C, Berjano P. Prone single-position extreme lateral interbody fusion (pro-XLIF): preliminary results. Eur Spine J. 2020;29(Suppl 1):6–13.
Soliman MAR, Khan A, Pollina J. Comparison of prone transpsoas and standard lateral lumbar interbody fusion surgery for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis. World Neurosurg. 2021;S1878-8750(21):01274–2. https://doi.org/10.1016/j.wneu.2021.08.097.
Mills ES, Treloar J, Idowu O, Shelby T, Alluri RK, Hah RJ. Single position lumbar fusion: a systematic review and meta-analysis. Spine J. 2021;22:429.
Soliman MA, Aguirre AO, Ruggiero N, Kuo CC, Mariotti BL, Khan A, Mullin JP, Pollina J. Comparison of prone transpsoas lateral lumbar interbody fusion and transforaminal lumbar interbody fusion for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis. Clin Neurol Neurosurg. 2021;213:107105.
Pimenta L, Amaral R, Taylor W, Tohmeh A, Pokorny G, Rodrigues R, Arnoni D, Guirelli T, Batista M. The prone transpsoas technique: preliminary radiographic results of a multicenter experience. Eur Spine J. 2021;30(1):108–13. Epub 2020 May 29.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
McCluskey, L.C., Cyriac, M. (2023). Prone Lateral Interbody Fusion. In: O'Brien, J.R., Weinreb, J.B., Babrowicz, J.C. (eds) Lumbar Spine Access Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-48034-8_30
Download citation
DOI: https://doi.org/10.1007/978-3-031-48034-8_30
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-48033-1
Online ISBN: 978-3-031-48034-8
eBook Packages: MedicineMedicine (R0)