RT Journal Article
SR Electronic
T1 Single-Position Prone Lateral Lumbar Interbody Fusion Technique Guide: Surgical Tips and Tricks
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 110
OP 116
DO 10.14444/8573
VO 18
IS 1
A1 Michael McDermott
A1 Michael Rogers
A1 Robert Prior
A1 Rebecca Michna
A1 Alfredo Guiroy
A1 Jahangir Asghar
A1 Ashish Patel
YR 2024
UL https://www.ijssurgery.com/content/18/1/110.abstract
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.