Lateral lumbar interbody fusion (LLIF) is a popular technique as it allows for the placement of a large interbody implant through a retroperitoneal, transpsoas working corridor. Historically, the interbody is placed with the patient in lateral decubitus and then repositioned to prone for the posterior instrumentation. While this has been an effective and successful technique, removing the interoperative flip would improve the efficiency of these cases. This has led to modified LLIF approaches including single-position prone LLIF (pLLIF). This modification has shown to be an efficient and powerful technique; however, learning to navigate the LLIF approach in the prone position has its own challenges. The purpose of this article is to provide a detailed description of our pLLIF technique while simultaneously introducing surgical tips to overcome the challenges of the approach and optimize the implantation of the interbody device.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265507 | PMC |
| http://dx.doi.org/10.14444/8573 | DOI Listing |
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Article Synopsis
- A study was conducted to evaluate the safety and effectiveness of lateral lumbar interbody fusion (LLIF) performed with patients in a prone position, comparing it to the traditional lateral position.
- The study included 20 patients who underwent LLIF while prone, with findings showing no intraoperative complications, but some patients experienced transient weakness and other postoperative issues.
- Overall, patient-reported outcomes improved significantly after the procedure, and while there were some complications in the prone group, they were not statistically different from those in the lateral group.
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