Single-Position Fluoroscopy-Guided Lateral Lumbar Interbody Fusion With Intraoperative Computed Tomography-Navigated Posterior Pedicle Screw Fixation: Technical Report and Literature Review.

Publication Type	Academic Article
Authors	Goldberg J, McGrath L, Kirnaz S, Sommer F, Carnevale J, Medary B, Härtl R
Journal	Int J Spine Surg
Volume	16
Issue	S1
Pagination	S9-S16
Date Published	04/01/2022
ISSN	2211-4599
Abstract	Lateral lumbar interbody fusion (LLIF) is a powerful tool in minimally invasive spine surgery with high rates of fusion, excellent indirect decompression, and deformity correction. LLIF offers advantages compared with anterior lumbar interbody fusion including a more favorable complication profile. Traditionally, the interbody fusion is performed in the lateral position and fluoroscopy-assisted pedicle screw fixation performed with the patient repositioned prone. The evolution of both pedicle screw technology and intraoperative navigation has enhanced the feasibility of single (lateral)-position surgery. Early reports using fluoroscopy-assisted pedicle screws and computer or robotic navigation suggest this technique can be performed safely and accurately. The purpose of this brief report is to provide the technical steps, workflow, as well as pearls and pitfalls for single-position LLIF with true intraoperative computed tomography navigation-guided percutaneous pedicle screw fixation. A case example is included for illustration.
DOI	10.14444/8231
PubMed ID	35387884
PubMed Central ID	PMC9983565