Lumbar Single Position Surgery (LSPS): optimized way for circumferential fusion

BY DR ALFREDO GUIROY

About the author

Alfredo Guiroy is a Spine Surgeon at Hospital Español de Mendoza in Argentina and Associate Researcher of Spine Surgery at The Paley Orthopedic & Spine Institute in West Palm Beach, Florida, US. He specializes in complex spinal deformities and minimally invasive spine surgery and is a member of AO Spine MISS study group.

References and further reading:

  1. Alfredo Guiroy, Charles Carazzo, Gastón Camino-Willhuber, Martín Gagliardi, Andrei Fernandes-Joaquim, Juan Pablo Cabrera, Cristiano Menezes, Jahangir Asghar. Single-Position Surgery versus Lateral-Then-Prone-Position Circumferential Lumbar Interbody Fusion: A Systematic Literature Review. World Neurosurgery, Volume 151, 2021.
  2. Buckland AJ, Ashayeri K, Leon C, Manning J, Eisen L, Medley M, Protopsaltis TS, Thomas JA. Single position circumferential fusion improves operative efficiency, reduces complications and length of stay compared with traditional circumferential fusion. Spine J. 2021 May; 21(5):810-820. doi: 10.1016/j.spinee.2020.11.002. Epub 2020 Nov 13. PMID: 33197616.
  3. Ziino C, Konopka JA, Ajiboye RM, Ledesma JB, Koltsov JCB, Cheng I. Single position versus lateral-then-prone positioning for lateral interbody fusion and pedicle screw fixation. J Spine Surg. 2018;4(4):717-724. doi:10.21037/jss.2018.12.03
  4. Thomas JA, Thomason CIM, Braly BA, Menezes CM. Rate of failure of indirect decompression in lateral single-position surgery: clinical results. Neurosurg Focus. 2020 Sep;49(3): E5. doi: 10.3171/2020.6.FOCUS20375. PMID: 32871563.
  5. Ashayeri K, Leon C, Tigchelaar S, Fatemi P, Follett M, Cheng I, Thomas JA, Medley M, Braly B, Kwon B, Eisen L, Protopsaltis TS, Buckland AJ. Single position lateral decubitus anterior lumbar interbody fusion (ALIF) and posterior fusion reduces complications and improves perioperative outcomes compared with traditional anterior-posterior lumbar fusion. Spine J. 2022 Mar;22(3):419-428. doi: 10.1016/j.spinee.2021.09.009. Epub 2021 Sep 30. PMID: 34600110.

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