Setting for single position surgery: survey from expert spinal surgeons

Guiroy, Alfredo; Andrada-Pereira, Bernardo de; Camino-Willhuber, Gastón; Berjano, Pedro; Lamartina, Claudio; Buckland, Aaron J.; Gagliardi, Martín; Khajavi, Kaveh; Turner, Jay D.; Thomas, J. Alex; Menezes, Cristiano Magalhães; Lehman, Ronald A.; Uribe, Juan S.; Asghar, Jahangir

doi:10.1007/s00586-022-07228-5

Cited by 1 publication

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“…Moreover, consensus of the setting for performing a single-position surgery was recently published which may help shorten the learning curve. 21 In a recent systematic review comparing single-position surgery vs lateral then prone position, Guiroy et al 3 operative time and hospital stay in the single-position cohort with similar perioperative outcomes. This and other supporting data for single-position surgical techniques will likely support the use of this strategy for more challenging traumatic and neoplastic pathologies.…”

Section: Discussionmentioning

confidence: 99%

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Single-Position Transpsoas Corpectomy and Posterior Instrumentation in the Thoracolumbar Spine for Different Clinical Scenarios

Guiroy¹,

Thomas

Bodon

et al. 2022

Operative Neurosurgery

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BACKGROUND:The concept of single-position spine surgery has been gaining momentum because it has proven to reduce operative time, blood loss, and hospital length of stay with similar or better outcomes than traditional dual-position surgery. The latest development in single-position spine surgery techniques combines either open or posterior pedicle screw fixation with transpsoas corpectomy while in the lateral or prone positioning. OBJECTIVE: To provide, through a multicenter study, the results of our first patients treated by single-position corpectomy. METHODS: This is a multicenter retrospective study of patients who underwent corpectomy and instrumentation in the lateral or prone position without repositioning between the anterior and posterior techniques. Data regarding demographics, diagnosis, neurological status, surgical details, complications, and radiographic parameters were collected. The minimum follow-up for inclusion was 6 months. RESULTS: Thirty-four patients were finally included in our study (24 male patients and 10 female patients), with a mean age of 51.2 (SD ± 17.5) years. Three-quarter of cases (n = 27) presented with thoracolumbar fracture as main diagnosis, followed by spinal metastases and primary spinal infection. Lateral positioning was used in 27 cases, and prone positioning was used in 7 cases. The overall rate of complications was 14.7%. CONCLUSION: This is the first multicenter series of patients who underwent singleposition corpectomy and fusion. This technique has shown to be safe and effective to treat a variety of spinal conditions with a relatively low rate of complications. More series are required to validate this technique as a possible standard approach when thoracolumbar corpectomies are indicated.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, consensus of the setting for performing a single-position surgery was recently published which may help shorten the learning curve. 21…”

Section: Discussionmentioning

confidence: 99%