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Early Experience with Prone Lateral Interbody Fusion in Deformity Correction: A Single-Institution Experience – Lumbar Fusion

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The article discusses the outcomes of adult deformity patients who underwent prone lateral interbody fusion surgery for spine correction. The study involved ten adult patients with a mean follow-up of 18 months, and the results showed significant improvements in various parameters such as sagittal vertical axis, lumbar lordosis, pelvic tilt, and segmental lordosis. Correlational analysis indicated a positive association between improvements in patient-reported outcomes and sagittal vertical axis and segmental lordosis. The study concluded that prone lateral surgery yielded favorable outcomes with reasonable perioperative risks, but further research comparing this technique with other approaches is necessary for a comprehensive evaluation

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Background/Objectives: Lateral spine surgery offers effective minimally invasive deformity correction, but traditional approaches often involve separate anterior, lateral, and posterior procedures. The prone lateral technique streamlines this process by allowing single-position access for lateral and posterior surgery, potentially benefiting from the lordosing effect of prone positioning. While previous studies have compared prone lateral to direct lateral for adult degenerative diseases, this…

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J Clin Med. 2024 Apr 15;13(8):2279. doi: 10.3390/jcm13082279. ABSTRACT Background/Objectives: Lateral spine surgery offers effective minimally invasive deformity correction, but traditional approaches often involve separate anterior, lateral, and posterior procedures. The prone lateral technique streamlines this process by allowing single-position access for lateral and posterior surgery, potentially benefiting from the lordosing effect of prone positioning.,

J Clin Med. 2024 Apr 15;13(8):2279. doi: 10.3390/jcm13082279.

ABSTRACT

Background/Objectives: Lateral spine surgery offers effective minimally invasive deformity correction, but traditional approaches often involve separate anterior, lateral, and posterior procedures. The prone lateral technique streamlines this process by allowing single-position access for lateral and posterior surgery, potentially benefiting from the lordosing effect of prone positioning. While previous studies have compared prone lateral to direct lateral for adult degenerative diseases, this retrospective review focuses on the outcomes of adult deformity patients undergoing prone lateral interbody fusion. Methods: Ten adult patients underwent single-position prone lateral surgery for spine deformity correction, with a mean follow-up of 18 months. Results: Results showed significant improvements: sagittal vertical axis decreased by 2.4 cm, lumbar lordosis increased by 9.1°, pelvic tilt improved by 3.3°, segmental lordosis across the fusion construct increased by 12.2°, and coronal Cobb angle improved by 6.3°. These benefits remained consistent over the follow-up period. Correlational analysis showed a positive association between improvements in PROs and SVA and SL. When compared to hybrid approaches, prone lateral yielded greater improvements in SVA. s: Prone lateral surgery demonstrated favorable outcomes with reasonable perioperative risks. However, further research comparing this technique with standard minimally invasive lateral approaches, hybrid, and open approaches is warranted for a comprehensive evaluation.

PMID:38673552 | DOI:10.3390/jcm13082279

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Early Experience with Prone Lateral Interbody Fusion in Deformity Correction: A Single-Institution Experience

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J Clin Med. 2024 Apr 15;13(8):2279. doi: 10.3390/jcm13082279. ABSTRACT Background/Objectives: Lateral spine surgery offers effective minimally invasive deformity correction, but traditional approaches often involve separate anterior, lateral, and posterior procedures. The prone lateral technique streamlines this process by allowing single-position access for lateral and posterior surgery, potentially benefiting from the lordosing effect of prone positioning.

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