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Single Position Prone Lateral Lumbar Interbody Fusion: A Review of the Current Literature.

Freddy P JacomeJustin J LeeDavid M HiltzikSia ChoManasa PagadalaWellington K Hsu
Published in: Current reviews in musculoskeletal medicine (2024)
The prone lateral approach has shown improved patient outcomes, including lower blood loss and shorter hospital stays, and has been validated by multiple studies for its safety and efficacy compared to the LLIF approach. Significant enhancements in postoperative metrics, such as the Oswestry Disability Index, Visual Analog Scale, and radiological improvements have been noted. Comparatively, the prone lateral approach offers superior segmental lordosis correction and potentially better subjective outcomes than the lateral decubitus position. Despite these advances, both techniques present similar risks of neurological complications. Overall, the prone lateral approach has emerged as a promising alternative in lumbar interbody fusion, combining efficiency, safety, and improved clinical outcomes.
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