PT  - JOURNAL ARTICLE
AU  - Goldberg, Jacob L.
AU  - McGrath, Lynn B.
AU  - Kirnaz, Sertac
AU  - Sommer, Fabian
AU  - Carnevale, Joseph A.
AU  - Medary, Branden
AU  - Härtl, Roger
TI  - Single-Position Fluoroscopy-Guided Lateral Lumbar Interbody Fusion With Intraoperative Computed Tomography–Navigated Posterior Pedicle Screw Fixation: Technical Report and Literature Review
AID  - 10.14444/8231
DP  - 2022 Apr 01
TA  - International Journal of Spine Surgery
PG  - S9--S16
VI  - 16
IP  - S1
4099  - https://www.ijssurgery.com/content/16/S1/S9.short
4100  - https://www.ijssurgery.com/content/16/S1/S9.full
SO  - Int J Spine Surg2022 Apr 01; 16
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.