Single Position Lateral Lumbar Interbody Fusion With Posterior Instrumentation Utilizing Computer Navigation and...

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Minimally Invasive Spine Surgery

Background:

• Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical technique for treating degenerative lumbar spine conditions.
• Robotic assistance is increasingly being integrated into spinal surgery to enhance precision and potentially improve outcomes.

Purpose of the Study:

• To evaluate the safety and short-term outcomes of single-position LLIF combined with bilateral posterior instrumentation and robotic assistance.
• To identify key surgical technique considerations for optimizing this procedure.

Main Methods:

• A retrospective cohort study involving 20 patients who underwent single-position LLIF with robotic assistance and posterior instrumentation.
• Patients were followed for a minimum of three months post-operatively to assess outcomes and complications.

Main Results:

• The procedure demonstrated a favorable safety profile with no intraoperative complications, readmissions, or revision surgeries.
• Average operative time was 211 minutes, average blood loss was 51.25 cc, and average length of stay was 1.4 days.
• Significant improvements in patient-reported pain scores and Oswestry Disability Index (ODI) were observed at the 3-month follow-up.

Conclusions:

• Single-position LLIF with bilateral posterior instrumentation and robotic assistance is a safe and effective minimally invasive approach for lumbar fusion.
• Adherence to specific surgical technique considerations is crucial for achieving optimal workflow and predictable clinical results.