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- Title
Robotic-assisted single-position lateral for multilevel circumferential lumbar interbody fusion: how I do it.
- Authors
Robles, Luis A.; Shah, Sumedh; Urakov, Timur
- Abstract
Background: Lateral lumbar interbody fusion supplemented with insertion of pedicle screws is a surgical procedure that has gained popularity in the last years, becoming an important tool in the armamentarium of spine surgeons. In recent years, there is a trend to complete both procedures in a single position, thus avoiding flipping the patient prone to insert the pedicle screws. Methods: We describe a step-by-step workflow of the robotic-assisted technique for multilevel lateral lumbar interbody fusion supplemented with posterior instrumentation. The surgical procedure is performed in a single lateral position. For access to L4–5 or L5–S1, an oblique abdominal incision is performed in the same position, and the desired disc space is approached through an oblique or anterior corridor in the retroperitoneal space. Conclusion: Robotic-assisted single-position lateral for multilevel circumferential lumbar interbody fusion is a safe and effective procedure in patients where lumbar stabilization is required. This technique provides patients with a faster recovery and low risk of complications.
- Subjects
SPINAL fusion; LUMBAR vertebrae; RETROPERITONEUM; OPERATIVE surgery
- Publication
Acta Neurochirurgica, 2023, Vol 165, Issue 12, p3963
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-023-05874-2