RT Journal Article
SR Electronic
T1 Single-Position Fluoroscopy-Guided Lateral Lumbar Interbody Fusion With Intraoperative Computed Tomography–Navigated Posterior Pedicle Screw Fixation: Technical Report and Literature Review
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP S9
OP S16
DO 10.14444/8231
VO 16
IS S1
A1 Jacob L. Goldberg
A1 Lynn B. McGrath, Jr
A1 Sertac Kirnaz
A1 Fabian Sommer
A1 Joseph A. Carnevale
A1 Branden Medary
A1 Roger Härtl
YR 2022
UL http://ijssurgery.com//content/16/S1/S9.abstract
AB Lateral lumbar interbody fusion (LLIF) is a powerful tool in minimally invasive spine surgery with high rates of fusion, excellent indirect decompression, and deformity correction. LLIF offers advantages compared with anterior lumbar interbody fusion including a more favorable complication profile. Traditionally, the interbody fusion is performed in the lateral position and fluoroscopy-assisted pedicle screw fixation performed with the patient repositioned prone. The evolution of both pedicle screw technology and intraoperative navigation has enhanced the feasibility of single (lateral)-position surgery. Early reports using fluoroscopy-assisted pedicle screws and computer or robotic navigation suggest this technique can be performed safely and accurately. The purpose of this brief report is to provide the technical steps, workflow, as well as pearls and pitfalls for single-position LLIF with true intraoperative computed tomography navigation-guided percutaneous pedicle screw fixation. A case example is included for illustration.