Setting for single position surgery: survey from expert spinal surgeons

Article Clinical Neurology

Single-position prone lateral transpsoas approach: early experience and outcomes

S. Harrison Farber et al.

Summary: This single-surgeon consecutive case series demonstrates that the novel technique of single-position prone LLIF is well tolerated and has acceptable clinical and radiographic outcomes.

JOURNAL OF NEUROSURGERY-SPINE (2022)

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Article Orthopedics

Accuracy of Percutaneous Pedicle Screw Placement after Single-Position versus Dual-Position Insertion for Lateral Interbody Fusion and Pedicle Screw Fixation Using Fluoroscopy

Akihiko Hiyama et al.

Summary: By comparing two groups of patients, the study found that inserting PPS under fluoroscopic guidance in the lateral decubitus position was as accurate and safe as inserting PPS in the prone position, with no neurological, vascular, or visceral injuries reported. Misplacement rates were similar to those previously published.

ASIAN SPINE JOURNAL (2022)

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Article Clinical Neurology

Prone Transpsoas Technique for Simultaneous Single-Position Access to the Anterior and Posterior Lumbar Spine

Luiz Pimenta et al.

Summary: The technique described in this study enables minimally disruptive anterior column correction while providing simultaneous access to the posterior spinal column, all in a single prone position. The early experience with this approach suggests feasibility and advantages, allowing for maximized anterior and posterior column access in a single-position surgery. Further follow-up studies are ongoing to evaluate the technique.

OPERATIVE NEUROSURGERY (2021)

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Article Orthopedics

Lateral lumbar interbody fusion after reduction using the percutaneous pedicle screw system in the lateral position for Meyerding grade II spondylolisthesis: a preliminary report of a new lumbar reconstruction strategy

Masanari Takami et al.

Summary: LIFARL is a novel surgical strategy for patients with narrow interbody space in Meyerding grade II spondylolisthesis, which can achieve accurate and safe LLIF combined with posterior pedicle screws.

BMC MUSCULOSKELETAL DISORDERS (2021)

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Article Orthopedics

Clinical and radiologic comparison of anterior-posterior single- position lateral surgery versus MIS-TLIF for degenerative lumbar spondylolisthesis

Yoshihisa Kotani et al.

Summary: The single-position surgery of oblique lateral interbody fusion (OLIF) combined with posterior screwing (OLIF-LPF) provides higher effectiveness rate and better improvement in leg pain for lumbar degenerative spondylolisthesis (DS) treatment, with less posterior disc height correction demonstrated.

JOURNAL OF ORTHOPAEDIC SCIENCE (2021)

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Editorial Material Clinical Neurology

Simultaneous Robotic Single-Position Surgery With Oblique Lumbar Interbody Fusion With Software Planning: 2-Dimensional Operative Video

Martin H. Pham et al.

Summary: The use of robotic guidance for spinal instrumentation offers advantages of precision, efficiency, and reproducibility, especially in lateral interbody surgery. This case demonstrates a two-surgeon simultaneous robotic single-position surgery with oblique lumbar interbody fusion, showcasing increased efficiency through robotic assistance.

OPERATIVE NEUROSURGERY (2021)

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Article Clinical Neurology

Single-Position Prone Transpsoas Lateral Interbody Fusion Including L4L5: Early Postoperative Outcomes

Luiz Pimenta et al.

Summary: The prone transpsoas approach is safe and feasible for accessing the L4/5 disc, with a low rate of complications and new-onset neurologic deficits.

WORLD NEUROSURGERY (2021)

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Editorial Material Clinical Neurology

Single-Position Surgery: Prone Lateral Lumbar Interbody Fusion: 2-Dimensional Operative Video

Ifije E. Ohiorhenuan et al.

Summary: Prone LLIF is a modified technique that allows for simultaneous decompression and fusion, avoiding the need for patient repositioning and increasing operative efficiency. It serves as a viable alternative to the conventional lateral decubitus position.

OPERATIVE NEUROSURGERY (2021)

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Article Anatomy & Morphology

Applied anatomy and surgical technique of the lateral single-position L5-S1 fusion

Gergely Bodon et al.

Summary: The latest development in ALIF procedure is its application in the lateral position, allowing for simultaneous posterior screw placement. Comprehensive anatomical study and detailed technical descriptions in the article provide readers with sufficient knowledge for performing their first lateral ALIF procedure successfully.

CLINICAL ANATOMY (2021)

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Article Clinical Neurology

Single position circumferential fusion improves operative efficiency, reduces complications and length of stay compared with traditional circumferential fusion

Aaron J. Buckland et al.

Summary: The study assessed the perioperative safety and efficacy of single-position anterior-posterior lumbar fusion surgery (SPLS). Among 390 patients undergoing anterior-posterior surgery, 237 underwent SPLS and 153 were in the Flip group. SPLS significantly reduced operative time, blood loss, length of stay, and fluoroscopy radiation dosage compared to traditional repositioned Flip surgery, with similar perioperative complications.

SPINE JOURNAL (2021)

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Review Clinical Neurology

Single-Position Surgery versus Lateral-Then-Prone-Position Circumferential Lumbar Interbody Fusion: A Systematic Literature Review

Alfredo Guiroy et al.

Summary: Comparative studies between single-position and dual-position lumbar interbody fusion showed that the single-position approach had advantages in terms of shorter operating time and hospital stay, while maintaining similar perioperative outcomes to the dual-position fusion.

WORLD NEUROSURGERY (2021)

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Editorial Material Clinical Neurology

Prone Single-Position Lateral Lumbar Interbody Fusion With Posterior Decompression and Pedicle Screw Fixation for the Treatment of Grade II Spondylolisthesis: 2-Dimensional Operative Video

Komal Naeem et al.

Summary: Lateral lumbar interbody fusion (LLIF) provides indirect decompression without disrupting the posterior elements, making it suitable for certain patients. However, the efficacy of single-position LLIF and posterior fixation in the prone position has not been well validated.

OPERATIVE NEUROSURGERY (2021)

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Article Clinical Neurology

Anterior Lumbar Interbody Fusion (ALIF) L5-S1 with overpowering of posterior lumbosacral instrumentation and fusion mass: a reliable solution in revision spine surgery

Pedro Berjano et al.

Summary: This study evaluated the feasibility of ALIF in overpowering posterior lumbar instrumentation and fusion mass in revision spine surgery, showing improvement in pain and disability indicators and successful restoration of ideal spinopelvic parameters in all cases.

EUROPEAN SPINE JOURNAL (2021)

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Article Clinical Neurology

Simultaneous Robotic Single-Position Surgery (SR-SPS) with Oblique Lumbar Interbody Fusion: A Case Series

Luis Daniel Diaz-Aguilar et al.

Summary: The study reported a simultaneous robotic single position surgery (SR-SPS) method, which can reduce operative time, ensure accurate and timely screw placement, and minimize complications.

WORLD NEUROSURGERY (2021)

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Article Clinical Neurology