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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: Mar 13, 2026

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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The Prone-Angled Transpsoas Approach: Utilizing Position, Approach, Navigation, and Neuromonitoring in Prone Lateral

Timothy Y Kim1, Jen-Yeu Wang2, Meera Mistry2

  • 1Department of Neurosurgery, University of California, San Diego, California, USA.

Neurosurgery Practice
|March 12, 2026
PubMed
Summary
This summary is machine-generated.

A novel prone angled transpsoas (PAT) technique for lateral lumbar fusion offers enhanced sagittal alignment and reduced risks. This approach combines prone positioning benefits with navigated oblique access for safer, single-position surgery.

Keywords:
Lateral lumbar interbody fusionMinimally invasive spine surgeryOblique lumbar interbody fusionProne angled transpsoasProne transpsoas

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Area of Science:

  • Spine surgery
  • Minimally invasive techniques
  • Lumbar fusion

Background:

  • Advancements in lateral lumbar interbody fusion focus on minimally invasive, anatomy-preserving methods.
  • Existing prone transpsoas and oblique lumbar interbody fusion techniques have limitations.
  • A novel prone angled transpsoas (PAT) technique is introduced.

Purpose of the Study:

  • To describe the novel prone angled transpsoas (PAT) surgical technique.
  • To combine the benefits of prone positioning with navigated oblique/angled access.
  • To simplify lateral lumbar fusion and minimize surgical risks.

Main Methods:

  • Description of the operative technique for the PAT approach.
  • Review of the rationale behind the PAT approach.
  • Presentation of a representative case example.

Main Results:

  • A case of grade 1 L4-L5 anterior spondylolisthesis treated with PAT lateral lumbar interbody fusion.
  • Successful use of neuromonitoring and navigation during the PAT procedure.
  • PAT combined advantages of prone transpsoas surgery with navigated anterior angled approach, potentially minimizing plexus injury.

Conclusions:

  • Early experience suggests the PAT technique is feasible and offers advantages.
  • The technique leverages prone positioning and navigated oblique access for safer lateral corridor creation.
  • Further follow-up studies are ongoing to evaluate the PAT technique.