Prone-transpsoas as single-position, circumferential access to the lumbar spine: A brief survey of index cases

Abstract

Background case description: Prone transposoas (PTP) is a novel approach to the lateral lumbar interbody fusion that harnesses the advantages of minimally invasive surgery with circumferential access to the lumbar spine in a single position. We present the peri-operative course of four index cases of patients having undergone PTP at a single institution. Outcome: Pre and post-operative spinal imaging with alignment parameters, operative approach, and patient outcome are reviewed for each index case. Conclusion: As advances in neuromonitoring and minimally invasive technology continue to evolve, new lumbar interbody fusion approaches are becoming operatively feasible.

Keywords

• Single position surgery
• Minimally invasive surgery
• Lumbar spine
• Spinal deformity