Related Experiment Video
Updated: Feb 3, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
Simultaneous lateral interbody fusion and pedicle screws (SLIPS) with CT-guided navigation
Jonathan N Sellin1, Rory R Mayer2, Marcus Hoffman3
1Department of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Objectives:
The advent of minimally invasive, percutaneous techniques for the placement of pedicle screws has led to the evolution of a popular treatment paradigm: anterior or lateral interbody fusions followed by posterior percutaneous pedicle screw placement. We present the operative technique for anterior-to-psoas lateral interbody fusion (ATP-LIF) with simultaneous posterior lumbar percutaneous pedicle screw fixation using intraoperative CT-guided navigation.
Patients And Methods:
This technique capitalizes both on the more oblique approach used in the ATP-LIF procedure, as well as the anatomic clarity gleaned from intraoperative CT-guided navigation, to allow for simultaneous placement of pedicle screws in the lateral position without the need for guiding fluoroscopy.
Results:
The parallel execution of both procedures, in the lateral position, reduces operative time, consolidates a two-stage procedure into one stage, and eliminates the need for prone re-positioning. The use of intraoperative CT-guided navigation reduces the need for fluoroscopy and overall radiation exposure while allowing for pedicle screw placement and the-LIF procedure in truly simultaneous fashion. In this pilot study, a total of 14 pedicle screws were placed with two lateral breaches (14%).
Conclusion:
Simultaneous Lateral Interbody and Pedicle Screws (SLIPS) represents a meaningful evolution of the newly reported single-position lateral interbody fusion with posterior percutaneous pedicle screw fixation.
Related Concept Videos
Rolling Without Slipping
Rolling With Slipping
An object's rolling motion is characterized by its rotation around its axis, while linear motion refers to the object's translational motion along a surface. Frictional forces can...
Nuclear Fusion
A helium nucleus has a mass that is 0.7% less than that of four hydrogen nuclei; this lost mass is converted into energy during the fusion. This reaction produces about...
Screw: Problem Solving
To evaluate the...
Self-Locking Screw
A square-threaded screw jack carrying a load is considered self-locking if the screw retains its position even after the moment applied to it is removed.
Frictional Forces on Screws
A jack with a square-threaded screw is a mechanical device used to lift heavy loads by applying a force at its handle. When the force is applied, the screw turns, raising the load. The screw can...

