• Neurosurgery · Mar 2025

    Review

    Single-Position Prone Transpsoas Lateral Interbody Fusion at L4-L5: Technical Pearls.

    • Winward Choy, Ximena Serur, Juan P Giraldo, and Juan S Uribe.
    • Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
    • Neurosurgery. 2025 Mar 1; 96 (3S): S3S8S3-S8.

    AbstractSingle-position prone transpsoas (PTP) lateral interbody fusion has been proposed as an alternative to lateral lumbar interbody fusion performed in the lateral decubitus position. The advantages to this single-position technique include facilitating segmental lordosis, obviating the need for repositioning for posterior instrumentation, and providing access for posterior decompression. Although PTP lateral interbody fusion can be a powerful and efficient technique, adopting and navigating this approach is challenging. A learning curve should be expected, even for surgeons who are experienced with traditional lateral lumbar interbody fusion. This review provides a detailed technical description of the PTP technique at L4-L5. In addition, we provide technical pearls aimed at improving surgical ergonomics, workflow, and safety.Copyright © Congress of Neurological Surgeons 2025. All rights reserved.

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