Prone-transpsoas as single-position, circumferential access to the lumbar spine: A brief survey of index cases

Case Reports


doi: 10.1016/j.xnsj.2021.100053.


eCollection 2021 Jun.

Affiliations

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Case Reports

Lauren E Stone et al.


N Am Spine Soc J.


.

Abstract


Background case description:

Prone transposoas (PTP) is a novel approach to the lateral lumbar interbody fusion that harnesses the advantages of minimally invasive surgery with circumferential access to the lumbar spine in a single position. We present the peri-operative course of four index cases of patients having undergone PTP at a single institution.


Outcome:

Pre and post-operative spinal imaging with alignment parameters, operative approach, and patient outcome are reviewed for each index case.


Conclusion:

As advances in neuromonitoring and minimally invasive technology continue to evolve, new lumbar interbody fusion approaches are becoming operatively feasible.


Keywords:

ACR, anterior column release; ALIF, anterior lumbar interbody fusion; EBL, estimated blood loss; HLD, hyperlipidemia; HTN, hypertension; LL, lumbar lordosis; Lumbar spine; Minimally invasive surgery; PI, pelvic incidence; PT, pelvic tilt; PTP, Prone transpsoas; SVA, sagittal vertical axis; Single position surgery; Spinal deformity; T2DM, Type two diabetes mellitus.

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