PT  - JOURNAL ARTICLE
AU  - McDermott, Michael
AU  - Rogers, Michael
AU  - Prior, Robert
AU  - Michna, Rebecca
AU  - Guiroy, Alfredo
AU  - Asghar, Jahangir
AU  - Patel, Ashish
TI  - Single-Position Prone Lateral Lumbar Interbody Fusion Technique Guide: Surgical Tips and Tricks
AID  - 10.14444/8573
DP  - 2024 Feb 15
TA  - International Journal of Spine Surgery
PG  - 8573
4099  - https://www.ijssurgery.com/content/early/2024/02/14/8573.short
4100  - https://www.ijssurgery.com/content/early/2024/02/14/8573.full
AB  - Lateral lumbar interbody fusion (LLIF) is a popular technique as it allows for the placement of a large interbody implant through a retroperitoneal, transpsoas working corridor. Historically, the interbody is placed with the patient in lateral decubitus and then repositioned to prone for the posterior instrumentation. While this has been an effective and successful technique, removing the interoperative flip would improve the efficiency of these cases. This has led to modified LLIF approaches including single-position prone LLIF (pLLIF). This modification has shown to be an efficient and powerful technique; however, learning to navigate the LLIF approach in the prone position has its own challenges. The purpose of this article is to provide a detailed description of our pLLIF technique while simultaneously introducing surgical tips to overcome the challenges of the approach and optimize the implantation of the interbody device.