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What's next for prone lateral spine surgery?

By Admin | October 31, 2023

Prone lateral spine positioning has gained attention in recent years and has been touted for its efficiency in the operating room. But its future isn't completely clear yet.

A multicenter study published April 27 in Spine evaluated single-position prone lateral lumbar interbody fusion in revision cases and found it improved operative efficiency without any increase in complications. In a study of 72 patients for the North American Spine Society Journal, prone transpsoas lateral interbody fusion with anterior docking was found to potentially "address shortcomings associated with traditional lateral interbody fusion by producing safe and reproducible access with improved restoration of segmental lordosis and optimization of spinopelvic parameters."

One setting where the procedure could thrive is the ASC. In 2021 Samuel Joseph, MD, of Joseph Spine Institute in Tampa, Fla. completed the first outpatient prone transpsoas case in the U.S.

"Prone transpsoas lateral interbody fusion is most likely to have a larger footprint in ambulatory surgery centers," Sohaib Hashmi, MD, of UCI Health in Orange, Calif. said. Single-level PTP procedures are currently performed in ASC settings; however, there are several factors why there will be an even greater shift of PTP to the outpatient setting. Simplicity of prone positioning streamlines setup and turnover of the procedure for staff as well as minimizing diverse equipment needs in the ASC. Simultaneous minimally invasive access to the anterior and posterior columns of the spine allows for...(More)

For more info please read, What's next for prone lateral spine surgery?, by Becker's Spine Review

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