• World Neurosurg · Oct 2024

    Review

    Spinal Robotics in Single-Position Lateral Surgery: A Narrative Review of Key Concepts and Considerations.

    • Nicholas S Hernandez, Zach Pennington, Saarang Patel, Nolan J Brown, Abigail Broughton, and Martin H Pham.
    • Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, California, USA.
    • World Neurosurg. 2024 Oct 1; 190: 566456-64.

    AbstractAnterior column realignment via anterior, oblique, or lateral lumbar interbody fusion is increasingly recognized as a powerful mechanism for indirect decompression and sagittal realignment in flexible deformity. Single-position lateral surgery is a popular variation that places patients in the lateral decubitus position, allowing concomitant placement of lateral interbodies and posterior segmental instrumentation without the need for repositioning the patient. The addition of robotics to this technique can help to overcome ergonomic limitations of the placement of pedicle screws in the lateral decubitus position; however, its description in the literature is relatively lacking. In this review we aim to discuss the indications, advantages, and pitfalls of this approach.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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