Prone lateral interbody fusion: A narrative review and case report

Abstract

Background: Prone transpsoas (PTP) is a novel approach for performing lateral lumbar interbody fusion in a single position. This approach may be beneficial for difficult clinical scenarios. In particular, the PTP position may facilitate lateral corpectomy for certain lumbar pathologies where a circumferential approach is necessary. Case presentation: A 23-year-old woman presented to the ED with wound breakdown four months after a T10-L2 posterior spinal fusion (PSF) was performed following a motor vehicle accident. Imaging studies revealed distal hardware failure and compromise of her distal vertebral body. A lateral corpectomy and interbody fusion was performed. Discussion: We report a case of lateral lumbar corpectomy via a novel PTP approach for a patient with a significant amount of kyphosis, wound breakdown, and hardware failure. We include a review of the current literature on prone transpsoas lateral lumbar interbody fusion. Initial reports do not suggest inferiority compared to other approaches. However, given its novelty, further investigation is needed.

Keywords

• Prone transpsoas
• Interbody fusion
• Lateral corpectomy