Single-Position Anterior Column Lateral Lumbar Interbody Fusion

Lopez, Gregory D.; Sayari, Arash J.; Phillips, Frank M.

doi:10.14444/8232

Cited by 2 publications

(3 citation statements)

References 48 publications

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“…P-SPS overcomes the aforementioned downsides of L-SPS, being procedurally similar to L-SPS, except that the patient is placed in a prone position instead of laterally ( Figure 4 ). This positioning offers a more familiar and spacious area for the surgeon to operate, facilitating easier pedicle screw placement and posterior decompression, as deemed necessary [ 151 , 152 , 153 ]. Furthermore, studies have demonstrated that adopting a prone position enables enhanced correction of sagittal plane imbalance attributed to an augmented lumbar lordosis [ 148 , 154 ], resulting in better segmental lordosis correction when compared to L-SPS ( Table 4 ) [ 155 ].…”

Section: Recent Advancesmentioning

confidence: 99%

The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present

Wong,

Tang,

Kaliya-Perumal

et al. 2024

Medicina

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Lumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). LLIF, a pivotal technique in the field, initially emerged as extreme/direct lateral interbody fusion (XLIF/DLIF) before the development of oblique lumbar interbody fusion (OLIF). To ensure comprehensive circumferential stability, LLIF procedures are often combined with posterior stabilization (PS) using pedicle screws. However, achieving this required repositioning of the patient during the surgical procedure. The advent of single-position surgery (SPS) has revolutionized the procedure by eliminating the need for patient repositioning. With SPS, LLIF along with PS can be performed either in the lateral or prone position, resulting in significantly reduced operative time. Ongoing research endeavors are dedicated to further enhancing LLIF procedures making them even safer and easier. Notably, the integration of robotic technology into SPS has emerged as a game-changer, simplifying surgical processes and positioning itself as a vital asset for the future of spinal fusion surgery. This literature review aims to provide a succinct summary of the evolutionary trajectory of lumbar interbody fusion techniques, with a specific emphasis on its recent advancements.

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Section: Recent Advancesmentioning

confidence: 99%

The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present

Wong,

Tang,

Kaliya-Perumal

et al. 2024

Medicina

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“…Although promising, this approach has several disadvantages. One example is the inability to reach the anterior column at L5-S1 without repositioning, as can be achieved with a lateral ALIF approach while in the lateral decubitus position [ 14 ]. An additional disadvantage secondary to positioning is that the spine cannot easily be laterally flexed in order to enlarge the distance between the caudal ribs and the iliac crest, as is performed in lateral decubitus, although this potential drawback can be partially overcome by specially designed patient positioners.…”

Section: The Prone Lateral Approachmentioning

confidence: 99%

“…The desire to perform lateral as well as posterior procedures whilst maintaining an efficient surgical workflow has brought about different methods of single-position dual-approach surgery. The lateral decubitus single-approach position has been described as a feasible option for lateral interbody fusion as well as posterior instrumentation without the need for patient repositioning [ 14 ]. In the lateral position, the anterior column is accessible along the entire length of the lumbar spine, including L5-S1, through ALIF and transpsoas approaches.…”

Section: Introductionmentioning

confidence: 99%

The Prone Lateral Approach for Lumbar Fusion—A Review of the Literature and Case Series

et al. 2023

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Lateral lumbar interbody fusion is an evolving procedure in spine surgery allowing for the placement of large interbody devices to achieve indirect decompression of segmental stenosis, deformity correction and high fusion rates through a minimally invasive approach. Traditionally, this technique has been performed in the lateral decubitus position. Many surgeons have adopted simultaneous posterior instrumentation in the lateral position to avoid patient repositioning; however, this technique presents several challenges and limitations. Recently, lateral interbody fusion in the prone position has been gaining in popularity due to the surgeon’s ability to perform simultaneous posterior instrumentation as well as decompression procedures and corrective osteotomies. Furthermore, the prone position allows improved correction of sagittal plane imbalance due to increased lumbar lordosis when prone on most operative tables used for spinal surgery. In this paper, we describe the evolution of the prone lateral approach for interbody fusion and present our experience with this technique. Case examples are included for illustration.

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Single-Position Anterior Column Lateral Lumbar Interbody Fusion

Cited by 2 publications

References 48 publications

The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present

The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present

The Prone Lateral Approach for Lumbar Fusion—A Review of the Literature and Case Series

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