Prone Transpsoas Approach for Adjacent Segment Disease and Flatback Deformity: Technical Note and Case Report

O’Connor, Timothy E.; O’Hehir, Mary Margaret; Mao, Jennifer; Mullin, Jeffrey P.; Pollina, John

doi:10.4236/ojmn.2021.111003

Cited by 5 publications

(4 citation statements)

References 9 publications

(7 reference statements)

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“…Prone positioning also enabled both right- and left-sided lateral approaches to optimize correction of a double coronal curve. Sagittal corrections were also optimized, as it has been the authors’ experience that prone positioning provides a significant improvement in positional lordosis, facilitating disc preparation and the use of 15 and even 20° lordotic cages without ALL release [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Initial multi-centre clinical experience with prone transpsoas lateral interbody fusion: Feasibility, perioperative outcomes, and lessons learned

Smith¹,

Joseph²,

Ditty³

et al. 2021

North American Spine Society Journal (NASSJ)

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Section: Discussionmentioning

confidence: 99%

Initial multi-centre clinical experience with prone transpsoas lateral interbody fusion: Feasibility, perioperative outcomes, and lessons learned

Smith¹,

Joseph²,

Ditty³

et al. 2021

North American Spine Society Journal (NASSJ)

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“…Prone positioning may also help facilitate LL correction and the abdominal and retroperitoneal contents reflect anteriorly with gravity, aiding in surgical dissection. [14][15][16] Furthermore, the technique has a reported reduction in operative time by 50 min. 17 19 With PSO, improvement in SVA has been reported between 13.5 to 20.7 cm, and correction in global LL between 34.1°to 77.5°.…”

Section: Discussionmentioning

confidence: 99%

“…Prone lateral instrumentation is becoming a more commonly utilized procedure. Prone positioning may also help facilitate LL correction and the abdominal and retroperitoneal contents reflect anteriorly with gravity, aiding in surgical dissection 14–16 . Furthermore, the technique has a reported reduction in operative time by 50 min 17 .…”

Section: Discussionmentioning

confidence: 99%

Osteotomy via the prone transpsoas approach for lateral interbody fusion of the lumbar spine

Weinreb,

Pease,

Smith

et al. 2023

Current Orthopaedic Practice

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“…From a radiographic perspective, a multi-institutional retrospective study by Theologis et al found that prone lateral could offer better correction of major Cobb angles, lumbar pelvic parameters, and sagittal vertical axis (SVA) than posterior-only MIS operations [11]. While these reports mainly describe adult degenerative conditions with a limited number of levels addressed, the literature investigating the use of prone lateral methods for the treatment of ASD is limited [12,13]. The objective of this study, therefore, was to evaluate the utility of the prone lateral approach in the treatment of adult deformity.…”

Section: Introductionmentioning

confidence: 99%

Early Experience with Prone Lateral Interbody Fusion in Deformity Correction: A Single-Institution Experience

Bartlett,

Dibble,

Sykes

et al. 2024

JCM

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Background/Objectives: Lateral spine surgery offers effective minimally invasive deformity correction, but traditional approaches often involve separate anterior, lateral, and posterior procedures. The prone lateral technique streamlines this process by allowing single-position access for lateral and posterior surgery, potentially benefiting from the lordosing effect of prone positioning. While previous studies have compared prone lateral to direct lateral for adult degenerative diseases, this retrospective review focuses on the outcomes of adult deformity patients undergoing prone lateral interbody fusion. Methods: Ten adult patients underwent single-position prone lateral surgery for spine deformity correction, with a mean follow-up of 18 months. Results: Results showed significant improvements: sagittal vertical axis decreased by 2.4 cm, lumbar lordosis increased by 9.1°, pelvic tilt improved by 3.3°, segmental lordosis across the fusion construct increased by 12.2°, and coronal Cobb angle improved by 6.3°. These benefits remained consistent over the follow-up period. Correlational analysis showed a positive association between improvements in PROs and SVA and SL. When compared to hybrid approaches, prone lateral yielded greater improvements in SVA. Conclusions: Prone lateral surgery demonstrated favorable outcomes with reasonable perioperative risks. However, further research comparing this technique with standard minimally invasive lateral approaches, hybrid, and open approaches is warranted for a comprehensive evaluation.

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Prone Transpsoas Approach for Adjacent Segment Disease and Flatback Deformity: Technical Note and Case Report

Cited by 5 publications

References 9 publications

Initial multi-centre clinical experience with prone transpsoas lateral interbody fusion: Feasibility, perioperative outcomes, and lessons learned

Initial multi-centre clinical experience with prone transpsoas lateral interbody fusion: Feasibility, perioperative outcomes, and lessons learned

Osteotomy via the prone transpsoas approach for lateral interbody fusion of the lumbar spine

Early Experience with Prone Lateral Interbody Fusion in Deformity Correction: A Single-Institution Experience

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