Our Team appreciates the opportunity to present our work (1 podium and 2 E-posters) in the prone lateral space at the SMISS this past weekend in Las Vegas

Our Team appreciates the opportunity to present our work (1 podium and 2 E-posters) in the prone lateral space at the SMISS this past weekend in Las Vegas

Our Team appreciates the opportunity to present our work (1 podium and 2 E-posters) in the prone lateral space at the SMISS this past weekend in Las Vegas. Great work by our research fellow Michael Rogers!

This podium presentation is Titled: A Retrospective Review of 140 Single Position Prone Lateral Interbody Fusion Cases: Clinical Experience and Perioperative Data

Take Away Points:

1. When first starting, we would book our cases ‘prone lateral, possible TLIF’. We aborted 3 times to a TLIF in our first 30cases (once each for retractor instability, unfavorable neuromonitoring on approach, working distance too long). We have not aborted since. Having a great plan B is comforting!

2. We started with the easier cases, L2-3, L3-4 adjacent segment disease. As we gained confidence, we progressed to multilevel cases, challenging L4-5s, prone corpectomies and prone ACRs as part of MIS or open deformity constructs. The prone lateral technique has become a major workhorse in our practice

3. Perioperative data (EBL, LOS, and complications) are similar to those published on the lateral interbody technique. For our center, the prone-lateral approach resulted in a significant time savings for single level cases by avoiding the initial lateral set up and avoiding the flip as in the traditional lateral decubitus position. This may not be the case in centers that have efficient lateral set ups.

4. Whatever the system you use, retractor instability is the primary issue to manage. We place an ALL retractor every time now to avoid unintentional ALL ruptures. The side benefit is that we can remove more anterior disc material with this approach which anecdotally allows for more lordosis restoration – study to follow.

We had no cases of bowel or vascular injury. Stick to the fundamentals to stay safe as you gain comfort in the approach

#spinesurgery #neurosurgery #chicago #pediatrics #physicaltherapy #scoliosis #scoliosisawareness #spinalsurgery #cosmetics #dmgspine