Minimally invasive prone transpsoas lateral lumbar interbody fusion using navigation

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Minimally Invasive Spine Procedures

Background:

• Minimally invasive spine surgery (MISS) aims to reduce tissue disruption and improve patient outcomes.
• Traditional approaches may require patient repositioning, increasing operative time and complexity.
• The single-position prone transpsoas lateral approach offers simultaneous anterior and posterior access, potentially streamlining procedures.

Purpose of the Study:

• To present a case utilizing the single-position prone transpsoas lateral approach for lumbar interbody fusion.
• To highlight the technical aspects and benefits of this navigated minimally invasive technique.
• To demonstrate an efficient surgical solution for degenerative lumbar conditions.

Main Methods:

• A 57-year-old male with persistent left-sided back pain and radiculopathy underwent surgery.
• Diagnostic imaging, including MRI and SPECT, identified multilevel degeneration and L2-3 pathology.
• The patient received a minimally invasive prone lateral lumbar interbody fusion at L2-3, employing navigation technology.

Main Results:

• The single-position prone transpsoas lateral approach facilitated simultaneous lateral and posterior access without repositioning.
• The navigated technique allowed for efficient single-position surgery, minimizing tissue disruption.
• Successful lumbar interbody fusion was achieved at L2-3.

Conclusions:

• The single-position prone transpsoas lateral approach is a viable and efficient technique for lumbar interbody fusion.
• Navigated MISS enhances precision and potentially improves outcomes in treating degenerative spine conditions.
• This approach offers a less invasive alternative for patients with complex lumbar pathologies.