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Prone position lateral interbody fusion-a narrative review – Lumbar Fusion

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The article discusses the use of the prone position in lateral access lumbar interbody fusion, a surgical procedure that provides anterior column support in the spine. The authors performed a narrative review of the available literature to evaluate the advantages, disadvantages, and unique features of this technique. The review found that the prone position offers benefits such as ease of placing pedicle screws, simultaneous posterior and lateral access, and safer positioning of important structures in the spine. However, there are also disadvantages including difficulties with exposure, visualization, positioning, and ergonomics during surgery. Overall, the prone position lateral interbody fusion is a valuable technique with its own set of advantages and disadvantages compared to the traditional lateral decubitus position

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: Prone position lateral interbody fusion is an increasingly prevalent and useful surgical technique with several advantages and disadvantages when compared to lateral interbody fusion in the lateral decubitus position. There are several surgical indications and goals for which prone lateral interbody fusion may provide significant benefit when compared to other interbody fusion techniques.

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J Spine Surg. 2023 Sep 22;9(3):331-341. doi: 10.21037/jss-23-34. Epub 2023 Sep 15.ABSTRACTBACKGROUND AND OBJECTIVE: Lateral access lumbar interbody fusion is an increasingly popular procedure that allows for anterior column support through discectomy, endplate preparation, and interbody insertion. This procedure was initially described and performed with the patient in the lateral decubitus position. This would typically,

J Spine Surg. 2023 Sep 22;9(3):331-341. doi: 10.21037/jss-23-34. Epub 2023 Sep 15.

ABSTRACT

BACKGROUND AND OBJECTIVE: Lateral access lumbar interbody fusion is an increasingly popular procedure that allows for anterior column support through discectomy, endplate preparation, and interbody insertion. This procedure was initially described and performed with the patient in the lateral decubitus position. This would typically be followed by repositioning the patient to the prone position for pedicle screw fixation. Increasingly common is the lateral access lumbar interbody fusion in the prone position. This narrative review seeks to summarize the available literature on advantages, disadvantages, and unique features of the prone position lateral access lumbar interbody fusion.

METHODS: We performed a narrative review of articles published up to 01 November 2022 through a PubMed search. The search terms “prone lateral spine surgery” and “lateral approach spine surgery” AND “prone position” were used. Articles not available in English were excluded. The search result abstracts were independently reviewed by 2 authors and 28 full text articles were reviewed. Both reviewing authors were orthopedic surgery chief residents.

KEY CONTENT AND FINDINGS: There are several unique advantages as well as disadvantages to the prone position lateral interbody fusion. Some advantages include ease of placing pedicle screws, simultaneous posterior and lateral access, greater ease in achieving segmental lumbar lordosis, and a relatively safer positioning of the psoas muscle, lumbar plexus, and abdominal structures. Disadvantages include more difficulties with exposure and retraction, as well as visualization, positioning and ergonomics of surgery.

S: Prone position lateral interbody fusion is an increasingly prevalent and useful surgical technique with several advantages and disadvantages when compared to lateral interbody fusion in the lateral decubitus position. There are several surgical indications and goals for which prone lateral interbody fusion may provide significant benefit when compared to other interbody fusion techniques.

PMID:37841787 | PMC:PMC10570633 | DOI:10.21037/jss-23-34

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Prone position lateral interbody fusion-a narrative review

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J Spine Surg. 2023 Sep 22;9(3):331-341. doi: 10.21037/jss-23-34. Epub 2023 Sep 15.ABSTRACTBACKGROUND AND OBJECTIVE: Lateral access lumbar interbody fusion is an increasingly popular procedure that allows for anterior column support through discectomy, endplate preparation, and interbody insertion. This procedure was initially described and performed with the patient in the lateral decubitus position. This would typically

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