Minimally invasive prone transpsoas lateral lumbar interbody fusion using navigation

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

Neurosurgical Focus: VideoLast synced 7/31/2026Status: syncedPMID: 42529758 pmidDOI: 10.3171/2026.4.FOCVID2639

Minimally invasive spine surgery continues to evolve, with the single-position prone transpsoas lateral approach offering simultaneous lateral and posterior access without repositioning. This technique minimizes tissue disruption while enabling efficient single-position surgery. The authors present the case of a 57-year-old male with left-sided back pain and radiculopathy recalcitrant to conservative treatment. MRI revealed multilevel degeneration, with single photon emission CT (SPECT) highlighting L2–3 pathology. After exhausting conservative measures, he underwent a minimally invasive prone lateral lumbar interbody fusion at L2–3 with the use of navigation. This video highlights the technical steps and advantages of this approach and navigated technique. The video can be found here:

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