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Setting for single position surgery: survey from expert spinal surgeons.

Alfredo Guiroy1, Bernardo de Andrada-Pereira2, Gastón Camino-Willhuber3

  • 1Elite Spine Health and Wellness Center, Fort Lauderdale, FL, USA.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|May 7, 2022
PubMed
Summary

This study outlines optimal surgical settings for single position fusion surgery, including Lateral Single Position Surgery (LSPS), Lateral ALIF (LA), and Prone Lateral Surgery (PLS). Recommendations are based on expert surgeon consensus to improve efficiency and understanding for those new to these techniques.

Keywords:
ALIFLLIFMinimally invasive spineProne lateral surgerySingle position surgerySpine surgery

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Area of Science:

  • Spine Surgery
  • Minimally Invasive Surgery

Background:

  • Single Position Surgery (SPS) offers potential benefits in spinal fusion procedures.
  • Standardized recommendations are needed to optimize SPS techniques.

Purpose of the Study:

  • To establish a comprehensive guide for performing single position fusion surgery.
  • To gather expert opinions on optimizing Lateral Single Position Surgery (LSPS), Lateral ALIF (LA), and Prone Lateral Surgery (PLS).

Main Methods:

  • A two-round survey was distributed to leading surgeons in SPS between April and May 2021.
  • The survey covered operating room setup, patient positioning, technology, surgical approach, and instrumentation.
  • Surgeons' expertise was indirectly assessed by the number of SPS procedures performed.

Main Results:

  • Twenty-four surgeons completed both survey rounds.
  • Over 50% of survey items achieved moderate to strong agreement among experts.
  • A consensus definition and step-by-step workflow for SPS were developed.

Conclusions:

  • A consensus-based recommendation for the optimal setting of single position fusion surgery was established.
  • This guide aims to enhance the learning curve for surgeons adopting LSPS, LA, and PLS techniques.