{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:37:14Z","timestamp":1769726234621,"version":"3.49.0"},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,9,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Single-position prone transpsoas lateral lumbar interbody fusion (PTP-LLIF) is an evolving minimally invasive surgery technique that merges the biomechanical and anatomical advantages of prone positioning with the LLIF approach. While PTP-LLIF enhances lumbar lordosis restoration and operative efficiency by eliminating patient repositioning, it presents unique ergonomic and visualization challenges for surgeons. This technical report describes a novel modification of the technique using the Teligen camera to improve intraoperative visualization and reduce surgeon fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The approach follows standard PTP-LLIF workflow with modifications allowing the use of retractor-mounted optical cameras and integrated navigation. The system enables real-time visualization of disc preparation and cage placement while minimizing reliance on repeated fluoroscopic imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Integration of the Teligen system improves ergonomic posture for the surgeon, reduces the frequency of radiation exposure, and provides continuous visual access for both the lead surgeon and the operative team. Enhanced intraoperative efficiency and teaching opportunities are also noted. The Teligen camera\u2013assisted technique offers a promising enhancement to PTP-LLIF by improving surgeon ergonomics and visualization without compromising procedural effectiveness. Early clinical experience suggests potential reductions in radiation exposure and operative time. Future comparative studies are warranted to validate these findings and establish long-term outcomes.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25418\">https:\/\/thejns.org\/doi\/10.3171\/CASE25418<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25418","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T06:39:43Z","timestamp":1757313583000},"source":"Crossref","is-referenced-by-count":0,"title":["Camera-assisted and navigated single-position prone transpsoas lateral lumbar interbody fusion: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Rouzbeh","family":"Motiei-Langroudi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Kentucky, Lexington, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Oper Neurosurg","first-page":"E5","article-title":"Prone transpsoas technique for simultaneous single-position access to the anterior and posterior lumbar spine","volume":"20","author":"Pimenta","year":"2020","unstructured":"Pimenta LTaylor WRStone LEWali ARSantiago-Dieppa DR.Prone transpsoas technique for simultaneous single-position access to the anterior and posterior lumbar spine. Oper Neurosurg. 2020;20(1):E5-E12."},{"key":"bib2","series-title":"World Neurosurg","first-page":"e786","article-title":"Single-position prone lateral interbody fusion improves segmental lordosis in lumbar spondylolisthesis","volume":"151","author":"Walker","year":"2021","unstructured":"Walker CTFarber SHGandhi SGodzik JTurner JDUribe JS.Single-position prone lateral interbody fusion improves segmental lordosis in lumbar spondylolisthesis. World Neurosurg. 2021;151:e786-e792."},{"issue":"9","key":"bib3","series-title":"Arch Orthop Trauma Surg","first-page":"5485","article-title":"Comparison of segmental lordosis gain of prone transpsoas (PTP) vs. lateral lumbar interbody fusion","volume":"143","author":"Amaral","year":"2023","unstructured":"Amaral RMoriguchi RPokorny GComparison of segmental lordosis gain of prone transpsoas (PTP) vs. lateral lumbar interbody fusion. Arch Orthop Trauma Surg. 2023;143(9):5485-5490."},{"key":"bib4","series-title":"World Neurosurg","first-page":"e11","article-title":"Comparison of prone transpsoas and standard lateral lumbar interbody fusion surgery for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis","volume":"157","author":"Soliman","year":"2022","unstructured":"Soliman MARKhan APollina J.Comparison of prone transpsoas and standard lateral lumbar interbody fusion surgery for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis. World Neurosurg. 2022;157:e11-e21."},{"issue":"suppl 1","key":"bib5","series-title":"Int J Spine Surg","first-page":"S19","article-title":"Prone lateral transpsoas approach to the spine: a technical guide for mastery","volume":"19","author":"Giraldo","year":"2025","unstructured":"Giraldo JPChoy WUribe JS.Prone lateral transpsoas approach to the spine: a technical guide for mastery. Int J Spine Surg. 2025;19(suppl 1):S19-S27."},{"issue":"5","key":"bib6","series-title":"Oper Neurosurg","first-page":"382","article-title":"Prone transpsoas lateral lumbar interbody fusion for degenerative lumbar spine disease: case series with an operative video using fluoroscopy-based instrument tracking guidance","volume":"23","author":"Soliman","year":"2022","unstructured":"Soliman MARRuggiero NAguirre AOProne transpsoas lateral lumbar interbody fusion for degenerative lumbar spine disease: case series with an operative video using fluoroscopy-based instrument tracking guidance. Oper Neurosurg. 2022;23(5):382-388."},{"issue":"4","key":"bib7","series-title":"J Clin Med","first-page":"1132","article-title":"Optimizing single-position prone lateral lumbar interbody fusion with exoscopic technology: a review of key innovations","volume":"14","author":"Quinones","year":"2025","unstructured":"Quinones CWilson JPKumbhare DGuthikonda BHoang S.Optimizing single-position prone lateral lumbar interbody fusion with exoscopic technology: a review of key innovations. J Clin Med. 2025;14(4):1132."},{"issue":"7","key":"bib8","series-title":"Cureus","first-page":"e41733","article-title":"Risk of injury to retroperitoneal structures in prone and lateral decubitus transpsoas approaches to lumbar interbody fusion: a pilot cadaveric anatomical study","volume":"15","author":"Pimenta","year":"2023","unstructured":"Pimenta LJoseph SAJrMoore JAMiles JAlvernia JEHowell KM.Risk of injury to retroperitoneal structures in prone and lateral decubitus transpsoas approaches to lumbar interbody fusion: a pilot cadaveric anatomical study. Cureus. 2023;15(7):e41733."},{"key":"bib9","series-title":"World Neurosurg","first-page":"e131","article-title":"The effect of patient position on psoas morphology and in lumbar lordosis","volume":"153","author":"Amaral","year":"2021","unstructured":"Amaral RDaher MTPratali RThe effect of patient position on psoas morphology and in lumbar lordosis. World Neurosurg. 2021;153:e131-e140."},{"issue":"9","key":"bib10","series-title":"Eur Spine J","first-page":"3492","article-title":"Clinical and radiographic outcomes following 120 consecutive patients undergoing prone transpsoas lateral lumbar interbody fusion","volume":"33","author":"Van Pevenage","year":"2024","unstructured":"Van Pevenage PMTohmeh AGHowell KM.Clinical and radiographic outcomes following 120 consecutive patients undergoing prone transpsoas lateral lumbar interbody fusion. Eur Spine J. 2024;33(9):3492-3502."},{"issue":"4","key":"bib11","series-title":"JBJS Essent Surg Tech","first-page":"e22.00022","article-title":"Robotic-assisted single-position prone lateral lumbar interbody fusion: indications, techniques, and outcomes","volume":"13","author":"Shafi","year":"2023","unstructured":"Shafi KLovecchio FSong JQureshi S.Robotic-assisted single-position prone lateral lumbar interbody fusion: indications, techniques, and outcomes. JBJS Essent Surg Tech. 2023;13(4):e22.00022."},{"key":"bib12","series-title":"Int J Surg Case Rep","article-title":"A case report of robotic-guided prone transpsoas lumbar fusion in a patient with lumbar pseudarthrosis, adjacent segment disease, and degenerative scoliosis","volume":"94","author":"Shahrestani","year":"2022","unstructured":"Shahrestani SBrown NJAcharya NDiaz-Aguilar LDPham MHTaylor WR.A case report of robotic-guided prone transpsoas lumbar fusion in a patient with lumbar pseudarthrosis, adjacent segment disease, and degenerative scoliosis. Int J Surg Case Rep. 2022;94:106999."},{"key":"bib13","series-title":"World Neurosurg","first-page":"221","article-title":"Navigation and robotic-assisted single-position prone lateral lumbar interbody fusion: technique, feasibility, safety, and case series","volume":"152","author":"North","year":"2021","unstructured":"North RYStrong MJYee TJKashlan ONOppenlander MEPark P.Navigation and robotic-assisted single-position prone lateral lumbar interbody fusion: technique, feasibility, safety, and case series. World Neurosurg. 2021;152:221-230.e1."},{"key":"bib14","series-title":"World Neurosurg","article-title":"Instrument tracking for prone lateral surgery","volume":"169","author":"Srinivasan","year":"2023","unstructured":"Srinivasan ESHamouda FGnaedinger AGInstrument tracking for prone lateral surgery. World Neurosurg. 2023;169:42."},{"issue":"14","key":"bib15","series-title":"J Neurosurg Case Lessons","first-page":"CASE24318","article-title":"Prone transpsoas lateral interbody fusion with retractor-mounted camera and heads-up display: illustrative case","volume":"8","author":"Sulhan","year":"2024","unstructured":"Sulhan SSellin JN.Prone transpsoas lateral interbody fusion with retractor-mounted camera and heads-up display: illustrative case. J Neurosurg Case Lessons. 2024;8(14):CASE24318."},{"issue":"1","key":"bib16","series-title":"Neurosurg Rev","first-page":"356","article-title":"A novel endoscope-port unit for lumbar microendoscopic surgery: a single-center case series review","volume":"47","author":"Martins Coelho Junior","year":"2024","unstructured":"Martins Coelho Junior VPAlvarado AMFessler RG.A novel endoscope-port unit for lumbar microendoscopic surgery: a single-center case series review. Neurosurg Rev. 2024;47(1):356."},{"issue":"3","key":"bib17","series-title":"Neurosurg Rev","first-page":"2441","article-title":"Effects of thigh extension on the position of the femoral nerve: application to prone lateral transpsoas approaches to the lumbar spine","volume":"45","author":"Courville","year":"2022","unstructured":"Courville EDitty BJMaulucci CMIwanaga JDumont ASTubbs RS.Effects of thigh extension on the position of the femoral nerve: application to prone lateral transpsoas approaches to the lumbar spine. Neurosurg Rev. 2022;45(3):2441-2447."},{"issue":"6","key":"bib18","series-title":"Spine (Phila Pa 1976)","first-page":"426","article-title":"Intra-abdominal content movement in prone versus lateral decubitus position lateral lumbar interbody fusion (LLIF)","volume":"49","author":"Menezes","year":"2024","unstructured":"Menezes CMAndrade LMLacerda GCSalom\u00e3o MMFreeborn MTThomas JA.Intra-abdominal content movement in prone versus lateral decubitus position lateral lumbar interbody fusion (LLIF). Spine (Phila Pa 1976). 2024;49(6):426-431."},{"issue":"4","key":"bib19","series-title":"Oper Neurosurg","first-page":"512","article-title":"Microendoscopic posterior cervical foraminotomy using TELIGEN: 2-dimensional operative video","volume":"27","author":"Alvarado","year":"2024","unstructured":"Alvarado AMFessler RG.Microendoscopic posterior cervical foraminotomy using TELIGEN: 2-dimensional operative video. Oper Neurosurg. 2024;27(4):512."},{"issue":"1","key":"bib1","series-title":"Oper Neurosurg","first-page":"E5","article-title":"Prone transpsoas technique for simultaneous single-position access to the anterior and posterior lumbar spine","volume":"20","author":"Pimenta","year":"2020","unstructured":"Pimenta LTaylor WRStone LEWali ARSantiago-Dieppa DR.Prone transpsoas technique for simultaneous single-position access to the anterior and posterior lumbar spine. Oper Neurosurg. 2020;20(1):E5-E12."},{"key":"bib2","series-title":"World Neurosurg","first-page":"e786","article-title":"Single-position prone lateral interbody fusion improves segmental lordosis in lumbar spondylolisthesis","volume":"151","author":"Walker","year":"2021","unstructured":"Walker CTFarber SHGandhi SGodzik JTurner JDUribe JS.Single-position prone lateral interbody fusion improves segmental lordosis in lumbar spondylolisthesis. World Neurosurg. 2021;151:e786-e792."},{"issue":"9","key":"bib3","series-title":"Arch Orthop Trauma Surg","first-page":"5485","article-title":"Comparison of segmental lordosis gain of prone transpsoas (PTP) vs. lateral lumbar interbody fusion","volume":"143","author":"Amaral","year":"2023","unstructured":"Amaral RMoriguchi RPokorny GComparison of segmental lordosis gain of prone transpsoas (PTP) vs. lateral lumbar interbody fusion. Arch Orthop Trauma Surg. 2023;143(9):5485-5490."},{"key":"bib4","series-title":"World Neurosurg","first-page":"e11","article-title":"Comparison of prone transpsoas and standard lateral lumbar interbody fusion surgery for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis","volume":"157","author":"Soliman","year":"2022","unstructured":"Soliman MARKhan APollina J.Comparison of prone transpsoas and standard lateral lumbar interbody fusion surgery for degenerative lumbar spine disease: a retrospective radiographic propensity score-matched analysis. World Neurosurg. 2022;157:e11-e21."},{"issue":"suppl 1","key":"bib5","series-title":"Int J Spine Surg","first-page":"S19","article-title":"Prone lateral transpsoas approach to the spine: a technical guide for mastery","volume":"19","author":"Giraldo","year":"2025","unstructured":"Giraldo JPChoy WUribe JS.Prone lateral transpsoas approach to the spine: a technical guide for mastery. Int J Spine Surg. 2025;19(suppl 1):S19-S27."},{"issue":"5","key":"bib6","series-title":"Oper Neurosurg","first-page":"382","article-title":"Prone transpsoas lateral lumbar interbody fusion for degenerative lumbar spine disease: case series with an operative video using fluoroscopy-based instrument tracking guidance","volume":"23","author":"Soliman","year":"2022","unstructured":"Soliman MARRuggiero NAguirre AOProne transpsoas lateral lumbar interbody fusion for degenerative lumbar spine disease: case series with an operative video using fluoroscopy-based instrument tracking guidance. Oper Neurosurg. 2022;23(5):382-388."},{"issue":"4","key":"bib7","series-title":"J Clin Med","first-page":"1132","article-title":"Optimizing single-position prone lateral lumbar interbody fusion with exoscopic technology: a review of key innovations","volume":"14","author":"Quinones","year":"2025","unstructured":"Quinones CWilson JPKumbhare DGuthikonda BHoang S.Optimizing single-position prone lateral lumbar interbody fusion with exoscopic technology: a review of key innovations. J Clin Med. 2025;14(4):1132."},{"issue":"7","key":"bib8","series-title":"Cureus","first-page":"e41733","article-title":"Risk of injury to retroperitoneal structures in prone and lateral decubitus transpsoas approaches to lumbar interbody fusion: a pilot cadaveric anatomical study","volume":"15","author":"Pimenta","year":"2023","unstructured":"Pimenta LJoseph SAJrMoore JAMiles JAlvernia JEHowell KM.Risk of injury to retroperitoneal structures in prone and lateral decubitus transpsoas approaches to lumbar interbody fusion: a pilot cadaveric anatomical study. Cureus. 2023;15(7):e41733."},{"key":"bib9","series-title":"World Neurosurg","first-page":"e131","article-title":"The effect of patient position on psoas morphology and in lumbar lordosis","volume":"153","author":"Amaral","year":"2021","unstructured":"Amaral RDaher MTPratali RThe effect of patient position on psoas morphology and in lumbar lordosis. World Neurosurg. 2021;153:e131-e140."},{"issue":"9","key":"bib10","series-title":"Eur Spine J","first-page":"3492","article-title":"Clinical and radiographic outcomes following 120 consecutive patients undergoing prone transpsoas lateral lumbar interbody fusion","volume":"33","author":"Van Pevenage","year":"2024","unstructured":"Van Pevenage PMTohmeh AGHowell KM.Clinical and radiographic outcomes following 120 consecutive patients undergoing prone transpsoas lateral lumbar interbody fusion. Eur Spine J. 2024;33(9):3492-3502."},{"issue":"4","key":"bib11","series-title":"JBJS Essent Surg Tech","first-page":"e22.00022","article-title":"Robotic-assisted single-position prone lateral lumbar interbody fusion: indications, techniques, and outcomes","volume":"13","author":"Shafi","year":"2023","unstructured":"Shafi KLovecchio FSong JQureshi S.Robotic-assisted single-position prone lateral lumbar interbody fusion: indications, techniques, and outcomes. JBJS Essent Surg Tech. 2023;13(4):e22.00022."},{"key":"bib12","series-title":"Int J Surg Case Rep","article-title":"A case report of robotic-guided prone transpsoas lumbar fusion in a patient with lumbar pseudarthrosis, adjacent segment disease, and degenerative scoliosis","volume":"94","author":"Shahrestani","year":"2022","unstructured":"Shahrestani SBrown NJAcharya NDiaz-Aguilar LDPham MHTaylor WR.A case report of robotic-guided prone transpsoas lumbar fusion in a patient with lumbar pseudarthrosis, adjacent segment disease, and degenerative scoliosis. Int J Surg Case Rep. 2022;94:106999."},{"key":"bib13","series-title":"World Neurosurg","first-page":"221","article-title":"Navigation and robotic-assisted single-position prone lateral lumbar interbody fusion: technique, feasibility, safety, and case series","volume":"152","author":"North","year":"2021","unstructured":"North RYStrong MJYee TJKashlan ONOppenlander MEPark P.Navigation and robotic-assisted single-position prone lateral lumbar interbody fusion: technique, feasibility, safety, and case series. World Neurosurg. 2021;152:221-230.e1."},{"key":"bib14","series-title":"World Neurosurg","article-title":"Instrument tracking for prone lateral surgery","volume":"169","author":"Srinivasan","year":"2023","unstructured":"Srinivasan ESHamouda FGnaedinger AGInstrument tracking for prone lateral surgery. World Neurosurg. 2023;169:42."},{"issue":"14","key":"bib15","series-title":"J Neurosurg Case Lessons","first-page":"CASE24318","article-title":"Prone transpsoas lateral interbody fusion with retractor-mounted camera and heads-up display: illustrative case","volume":"8","author":"Sulhan","year":"2024","unstructured":"Sulhan SSellin JN.Prone transpsoas lateral interbody fusion with retractor-mounted camera and heads-up display: illustrative case. J Neurosurg Case Lessons. 2024;8(14):CASE24318."},{"issue":"1","key":"bib16","series-title":"Neurosurg Rev","first-page":"356","article-title":"A novel endoscope-port unit for lumbar microendoscopic surgery: a single-center case series review","volume":"47","author":"Martins Coelho Junior","year":"2024","unstructured":"Martins Coelho Junior VPAlvarado AMFessler RG.A novel endoscope-port unit for lumbar microendoscopic surgery: a single-center case series review. Neurosurg Rev. 2024;47(1):356."},{"issue":"3","key":"bib17","series-title":"Neurosurg Rev","first-page":"2441","article-title":"Effects of thigh extension on the position of the femoral nerve: application to prone lateral transpsoas approaches to the lumbar spine","volume":"45","author":"Courville","year":"2022","unstructured":"Courville EDitty BJMaulucci CMIwanaga JDumont ASTubbs RS.Effects of thigh extension on the position of the femoral nerve: application to prone lateral transpsoas approaches to the lumbar spine. Neurosurg Rev. 2022;45(3):2441-2447."},{"issue":"6","key":"bib18","series-title":"Spine (Phila Pa 1976)","first-page":"426","article-title":"Intra-abdominal content movement in prone versus lateral decubitus position lateral lumbar interbody fusion (LLIF)","volume":"49","author":"Menezes","year":"2024","unstructured":"Menezes CMAndrade LMLacerda GCSalom\u00e3o MMFreeborn MTThomas JA.Intra-abdominal content movement in prone versus lateral decubitus position lateral lumbar interbody fusion (LLIF). Spine (Phila Pa 1976). 2024;49(6):426-431."},{"issue":"4","key":"bib19","series-title":"Oper Neurosurg","first-page":"512","article-title":"Microendoscopic posterior cervical foraminotomy using TELIGEN: 2-dimensional operative video","volume":"27","author":"Alvarado","year":"2024","unstructured":"Alvarado AMFessler RG.Microendoscopic posterior cervical foraminotomy using TELIGEN: 2-dimensional operative video. 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