{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:20:41Z","timestamp":1783470041740,"version":"3.55.0"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>This video demonstrates the role of navigation in optimizing awake single-position prone lateral transpsoas interbody fusion with simultaneous posterior decompression and instrumentation under spinal anesthesia. Awake spine surgery is constrained by the duration of spinal anesthesia and demands a coordinated workflow, making navigation essential. The patient was a 77-year-old man with significant cardiac comorbidities and neurogenic claudication from severe L3\u20134 stenosis. Technical pearls are presented addressing navigational accuracy in the conscious patient and strategies promoting near-simultaneous workflow between the lateral and posterior approaches. Navigation supports both procedural accuracy and workflow efficiency throughout the case.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2026.4.FOCVID25238\">https:\/\/stream.cadmore.media\/r10.3171\/2026.4.FOCVID25238<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2026.4.focvid25238","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:07:28Z","timestamp":1782864448000},"page":"V6","source":"Crossref","is-referenced-by-count":0,"title":["Use of navigation to optimize awake prone lateral interbody fusion with posterior decompression and fusion"],"prefix":"10.3171","volume":"15","author":[{"given":"Christian","family":"Quinones","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, LSU Health Shreveport, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bailey","family":"Lupo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, LSU Health Shreveport, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, LSU Health Shreveport, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enoch","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, LSU Health Shreveport, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Hoang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, LSU Health Shreveport, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Surg Neurol Int","first-page":"388","article-title":"Awake lumbar spine surgery performed under spinal versus conventional anesthesia","volume":"15","author":"Mohi Eldin MM","year":"2024","unstructured":"Mohi Eldin MM, Salah-Eldin Hassan Abdelaaty A, Youssef O, Abdulkawy AA, Eltoukhy M. Awake lumbar spine surgery performed under spinal versus conventional anesthesia. Surg Neurol Int. 2024;15:388. doi:10.25259\/SNI_747_2024"},{"issue":"1","key":"b2","series-title":"Clin Spine Surg","first-page":"E7","article-title":"Impact of epidural versus general anesthesia on major lumbar surgery in elderly patients","volume":"32","author":"Li Z","year":"2019","unstructured":"Li Z, Long H, Huang F, Zhang Y, Xu J, Wang X. Impact of epidural versus general anesthesia on major lumbar surgery in elderly patients. Clin Spine Surg. 2019;32(1):E7\u2013E12. doi:10.1097\/BSD.0000000000000708"},{"key":"b3","series-title":"Surg Neurol Int","first-page":"222","article-title":"Awake spine surgery: an eye-opening movement","volume":"12","author":"Fiani B","year":"2021","unstructured":"Fiani B, Reardon T, Selvage J,  Awake spine surgery: an eye-opening movement. Surg Neurol Int. 2021;12:222. doi:10.25259\/SNI_153_2021"},{"issue":"10","key":"b4","series-title":"Spine J","first-page":"1763","article-title":"Use of motor evoked potentials during lateral lumbar interbody fusion reduces postoperative deficits","volume":"18","author":"Riley MR","year":"2018","unstructured":"Riley MR, Doan AT, Vogel RW, Aguirre AO, Pieri KS, Scheid EH. Use of motor evoked potentials during lateral lumbar interbody fusion reduces postoperative deficits. Spine J. 2018;18(10):1763\u20131778. doi:10.1016\/j.spinee.2018.02.024"},{"issue":"suppl 3","key":"b5","series-title":"Eur Spine J","first-page":"378","article-title":"Can triggered electromyography monitoring throughout retraction predict postoperative symptomatic neuropraxia after XLIF? 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Eur Spine J. 2020;29(6):1362\u20131370. doi:10.1007\/s00586-020-06352-4"},{"issue":"1","key":"b7","series-title":"Rev Esp Cir Ortop\u00e9dica Traumatol","first-page":"8","article-title":"Artrodesis intersom\u00e1tica lumbar extralateral. T\u00e9cnica quir\u00fargica, resultados y complicaciones con un seguimiento m\u00ednimo de un a\u00f1o","volume":"61","author":"Dom\u00ednguez I","year":"2017","unstructured":"Dom\u00ednguez I, Luque R, Noriega M, Rey J, Alia J, Marco-Mart\u00ednez F. Artrodesis intersom\u00e1tica lumbar extralateral. T\u00e9cnica quir\u00fargica, resultados y complicaciones con un seguimiento m\u00ednimo de un a\u00f1o. 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Eur Spine J. 2011;20(4):550\u2013556. doi:10.1007\/s00586-010-1593-5"}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/15\/1\/article-pV6.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/15\/1\/article-pV6.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/15\/1\/article-pV6.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:01:14Z","timestamp":1783468874000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/15\/1\/article-pV6.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":16,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2026.4.focvid25238","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}