{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:54:41Z","timestamp":1788188081266,"version":"build-2803163510"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T00:00:00Z","timestamp":1603324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Effective decompression, arthrodesis, and correction of spinal conditions frequently utilize operative approaches that expose both the anterior and posterior spinal column. Until now, circumferential spinal column access often requires the surgeon to reposition and drape the patient multiple times or utilize a posterior only approach that has limited anterior correction capability or to utilize a lateral-only approach that complicates otherwise traditional posterior surgical maneuvers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To describe a technique utilizing a single surgical position that enables minimally disruptive anterior column correction with simultaneous access to the posterior spinal column.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The operative technique for accessing the lateral lumbar interbody space from a prone transpsoas (PTP) approach is described. The rationale for this approach and a representative case example are reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The PTP approach was used to perform an L3-4 and L4-5 interbody fusion in a 71-yr-old female with spondylolisthesis, severe stenosis, and locked facets. The PTP approach enabled efficient completion of an anterior column correction, direct posterior decompression, multi-segment pedicle fixation, and maintenance of alignment, all while in a single prone position. There were no intraoperative or postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The authors\u2019 early experience with the described PTP technique suggests it is not only feasible but offers some advantages, as it allows for single-position surgery maximizing both anterior and posterior column access and corrective techniques. Further follow-up studies of this technique are ongoing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opaa328","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T21:10:37Z","timestamp":1603401037000},"page":"E5-E12","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":63,"title":["Prone Transpsoas Technique for Simultaneous Single-Position Access to the Anterior and Posterior Lumbar Spine"],"prefix":"10.1227","volume":"20","author":[{"given":"Luiz","family":"Pimenta","sequence":"first","affiliation":[{"name":"Instituto,de Patologia da Coluna, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvin Raj","family":"Wali","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R","family":"Santiago-Dieppa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1]]},"reference":[{"issue":"6","key":"bib1-20260601","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1097\/00007632-199703150-00023","article-title":"A new microsurgical technique for minimally invasive anterior lumbar interbody fusion","volume":"22","author":"Mayer","year":"1997","journal-title":"Spine"},{"key":"bib2-20260601","article-title":"Lateral endoscopic transpsoas retroperitoneal approach for lumbar spine surgery","author":"Pimenta"},{"issue":"4","key":"bib3-20260601","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.spinee.2005.08.012","article-title":"Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion","volume":"6","author":"Ozgur","year":"2006","journal-title":"Spine J"},{"key":"bib4-20260601","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.clineuro.2018.02.020","article-title":"Outcomes following minimally invasive lateral transpsoas interbody fusion for degenerative low grade lumbar spondylolisthesis: a systematic review","volume":"167","author":"Goyal","year":"2018","journal-title":"Clin Neurol Neurosurg"},{"issue":"Suppl 3","key":"bib5-20260601","first-page":"313","article-title":"MIS lateral spine surgery: a systematic literature review of complications, outcomes, and economics","volume":"24","author":"Lehman","year":"2015","journal-title":"Eur Spine J"},{"issue":"5","key":"bib6-20260601","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1097\/BSD.0b013e31821e262f","article-title":"Lumbarized sacrum as a relative contraindication for lateral transpsoas interbody fusion at L5-6","volume":"25","author":"Smith","year":"2012","journal-title":"J Spinal Disord Tech."},{"issue":"S3","key":"bib7-20260601","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1007\/s00586-015-3871-8","article-title":"Can triggered electromyography monitoring throughout retraction predict postoperative symptomatic neuropraxia after XLIF? 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