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Lumbar spondylolisthesis can lead to symptoms of mechanical back pain and radiculopathy. Surgical treatment aims to address dynamic instability and foraminal stenoses. While various alternatives exist to treat this clinical presentation, the single-position prone lateral interbody fusion has recently emerged as a popular technique. This operative video illustrates the treatment of a grade 1 L3-4 spondylolisthesis with a single-position prone lateral transpsoas interbody fusion with percutaneous instrumentation using the Mazor X Stealth robotic system. Detailed step-by-step techniques with operative pearls are provided to help surgeons incorporate the nuances of robotic navigation to the single-position prone lateral procedure. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID24148.
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http://dx.doi.org/10.3171/2025.4.FOCVID24148 | DOI Listing |
J Neurosurg Case Lessons
September 2025
Department of Neurosurgery, University of Kentucky, Lexington, Kentucky.
Background: Single-position prone transpsoas lateral lumbar interbody fusion (PTP-LLIF) is an evolving minimally invasive surgery technique that merges the biomechanical and anatomical advantages of prone positioning with the LLIF approach. While PTP-LLIF enhances lumbar lordosis restoration and operative efficiency by eliminating patient repositioning, it presents unique ergonomic and visualization challenges for surgeons. This technical report describes a novel modification of the technique using the Teligen camera to improve intraoperative visualization and reduce surgeon fatigue.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
August 2025
From the Department of Orthopaedic Surgery, University of Texas Health San Antonio; San Antonio, TX (Dr. Emukah, Dr. Williamson, Dr. Martinez, and Mufti); the University of the Incarnate Word School of Osteopathic Medicine; San Antonio, TX (McCarrell); and the Department of Orthopaedic Surgery, Duke
Introduction: Patients undergoing surgical interventions, particularly spine surgery, often rely on online videos as a first source for medical information. In this study, we sought to investigate the understandability, reliability, and quality of online patient educational videos focused on single-position lumbar fusion.
Methods: The YouTube platform was searched using five search terms: prone transpsoas lumbar fusion, prone lateral lumbar fusion, single position lumbar fusion, prone single position lumbar fusion, and lateral single position lumbar fusion.
J Clin Neurosci
August 2025
Department of Neurological Surgery, University of California, San Diego, La Jolla, CA, USA.
Introduction: Both the prone transpsoas (PTP) single-position lateral lumbar interbody fusion (LLIF) and standard (dual-position) LLIF enable minimally invasive (MIS) indirect decompression and deformity correction. Existing studies comparing the utility of these approaches for adult spinal deformity (ASD) correction have been limited to small, single-center series. No study has investigated revision single-position PTP-LLIF versus standard LLIF in a large cohort of ASD patients.
View Article and Find Full Text PDFNeurosurg Focus Video
July 2025
Department of Neurosurgery, Louisiana State University Health Sciences, Shreveport, Louisiana.
Lumbar spondylolisthesis can lead to symptoms of mechanical back pain and radiculopathy. Surgical treatment aims to address dynamic instability and foraminal stenoses. While various alternatives exist to treat this clinical presentation, the single-position prone lateral interbody fusion has recently emerged as a popular technique.
View Article and Find Full Text PDFNeurosurg Focus Video
July 2025
Department of Neurosurgery, St. Joseph's Hospital and Medical Center, Barrow Neurological Institute, Phoenix, Arizona.
This video demonstrates robotic assistance for performing single-position prone lateral transpsoas interbody fusion with posterior percutaneous screws. The ability to preoperatively plan the screws and interbody devices may help surgeons improve accuracy as well as increase the ease of performing these single-position minimally invasive procedures. The video can be found here: https://stream.
View Article and Find Full Text PDF