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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
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Related Experiment Video

Updated: Aug 23, 2025

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
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Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique

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Instrument Tracking for Prone Lateral Surgery.

Ethan S Srinivasan1, Farrah Hamouda2, Anika G Gnaedinger1

  • 1Duke University School of Medicine, Durham, North Carolina, USA.

World Neurosurgery
|November 6, 2022
PubMed
Summary
This summary is machine-generated.

This study shows that virtual live fluoroscopy enhances prone lateral spine surgery, improving safety and efficiency. This minimally invasive technique reduces radiation exposure for patients and surgeons during lumbar interbody fusion.

Keywords:
Instrument trackingMinimally invasiveNavigationProne lateral surgeryRetroperitoneal transpsoasSpine surgery

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Area of Science:

  • Minimally Invasive Spine Surgery
  • Surgical Navigation Technology

Background:

  • The prone lateral transpsoas approach allows lumbar interbody fusion with posterior instrumentation in a single position.
  • This approach minimizes disruption of posterior spinal musculature.
  • Integrating virtual live fluoroscopy (VLF) offers navigation benefits in spine surgery.

Observation:

  • A 75-year-old male patient with prior fusion experienced progressive leg pain and weakness.
  • The patient underwent L2-L3 lateral retroperitoneal interbody fusion and posterior instrumentation using VLF.
  • The procedure was completed without complications, with improved patient ambulation noted at follow-up.

Findings:

  • VLF instrument tracking provides accurate, dynamic spatial localization of surgical tools.
  • This technology reduces radiation exposure for both patients and surgeons.
  • VLF allows for rapid remapping to anatomic changes, facilitating smoother surgical progression compared to CT-guided navigation.

Implications:

  • VLF is a valuable tool for enhancing the safety and efficiency of single-position lateral spine surgery.
  • This approach enables effective lumbar interbody fusion with reduced muscle disruption.
  • The integration of VLF supports minimally invasive techniques in complex spinal procedures.