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The Prone-Transpsoas Approach for Single-Position Lateral Corpectomy: A Case Series.

James G Lyman¹, Michael C Oblich¹, Rishi Jain¹

¹Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.

|June 26, 2026

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This summary is machine-generated.

Prone-transpsoas single-position corpectomy (PTP-corpectomy) is a safe and effective technique for complex spinal pathologies. This approach offers simultaneous spinal access, improving patient outcomes and stability.

Area of Science:

Spine Surgery
Orthopedics
Neurosurgery

Background:

Prone-transpsoas (PTP) corpectomy is an emerging technique for spinal surgery.
It allows simultaneous lateral and posterior spinal access without repositioning the patient.
Existing literature primarily details the PTP approach for interbody fusions, with limited evaluation for corpectomy.

Purpose of the Study:

To describe the surgical technique of PTP-corpectomy.
To report early clinical outcomes for complex thoracolumbar spinal pathologies.
To contribute to the limited case volume on PTP-corpectomy.

Main Methods:

Retrospective review of seven patients undergoing PTP-corpectomy.
Indications included severe kyphoscoliosis, traumatic burst fractures, and revision surgery.

Keywords:

burst fracture case series complex spinal pathology compression fracture expandable cage intraoperative navigation lateral corpectomy lumbar fusion prone-transpsoas approach revision spine surgery sagittal alignment correction single-position spinal deformity surgical technique thoracolumbar corpectomy

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Data collected: demographics, comorbidities, surgical history, perioperative details, radiographic imaging, and clinical outcomes.

Main Results:

All seven patients successfully underwent PTP-corpectomy.
Average operative time: 460.6 minutes; average EBL: 892.9 mL.
Average postoperative LOS: 6.7 days; all patients showed improved pain and function.

Conclusions:

PTP approach is feasible, safe, and effective for corpectomy in complex spinal pathologies.
The technique demonstrates positive clinical outcomes.
Further studies with larger cohorts are needed to validate findings.