TY - JOUR AU - Ziino, Chason AU - Konopka, Jaclyn A. AU - Ajiboye, Remi M. AU - Ledesma, Justin B. AU - Koltsov, Jayme C. B. AU - Cheng, Ivan PY - 2018 TI - Single position versus lateral-then-prone positioning for lateral interbody fusion and pedicle screw fixation JF - Journal of Spine Surgery; Vol 4, No 4 (December 24, 2018): Journal of Spine Surgery Y2 - 2018 KW - N2 - Background: To compare perioperative and radiographic outcomes following lateral lumbar interbody fusions in two cohorts of patients who either underwent single position or dual position surgery. Methods: Patients over the age of 18 with degenerative lumbar pathology who underwent a lumbar interbody fusion via lateral access from 2012–2015 from a single surgeon met inclusion criteria. Patients who underwent combined procedures, had a history of retroperitoneal surgery, or had inadequate preoperative imaging were excluded. Patients who remained in the lateral decubitus position for pedicle screw fixation [single-position (SP)] were compared to those turned prone [dual-position (DP)]. Demographics, surgical details, and perioperative outcomes were compared between groups. Results: A total of 42 SP and 24 DP patients were analyzed. The DP group had a 44.4-minute longer operating room time compared to the SP group (P 0.999) or post-operatively (P=0.479), and neither was the pre- to post-operative change (P=0.283). Conclusions: Lateral pedicle screw fixation following lateral interbody fusion decreases operating room time without compromising post-operative lordosis, complication rates, or perioperative outcomes. UR - https://jss.amegroups.org/article/view/4393