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Prone position lateral interbody fusion—a narrative review

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 decubi...

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Autores principales: Patel, Hiren M., Fasani-Feldberg, Gregory, Patel, Harshadkumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570633/
https://www.ncbi.nlm.nih.gov/pubmed/37841787
http://dx.doi.org/10.21037/jss-23-34
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author Patel, Hiren M.
Fasani-Feldberg, Gregory
Patel, Harshadkumar
author_facet Patel, Hiren M.
Fasani-Feldberg, Gregory
Patel, Harshadkumar
author_sort Patel, Hiren M.
collection PubMed
description 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. CONCLUSIONS: 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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spelling pubmed-105706332023-10-14 Prone position lateral interbody fusion—a narrative review Patel, Hiren M. Fasani-Feldberg, Gregory Patel, Harshadkumar J Spine Surg Review Article 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. CONCLUSIONS: 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. AME Publishing Company 2023-09-15 2023-09-22 /pmc/articles/PMC10570633/ /pubmed/37841787 http://dx.doi.org/10.21037/jss-23-34 Text en 2023 Journal of Spine Surgery. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Review Article
Patel, Hiren M.
Fasani-Feldberg, Gregory
Patel, Harshadkumar
Prone position lateral interbody fusion—a narrative review
title Prone position lateral interbody fusion—a narrative review
title_full Prone position lateral interbody fusion—a narrative review
title_fullStr Prone position lateral interbody fusion—a narrative review
title_full_unstemmed Prone position lateral interbody fusion—a narrative review
title_short Prone position lateral interbody fusion—a narrative review
title_sort prone position lateral interbody fusion—a narrative review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570633/
https://www.ncbi.nlm.nih.gov/pubmed/37841787
http://dx.doi.org/10.21037/jss-23-34
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