Prone lateral interbody fusion: A narrative review and case report

Background: Prone transpsoas (PTP) is a novel approach for performing lateral lumbar interbody fusion in a single position. This approach may be beneficial for difficult clinical scenarios. In particular, the PTP position may facilitate lateral corpectomy for certain lumbar pathologies where a circumferential approach is necessary. Case presentation: A 23-year-old woman presented to the ED with wound breakdown four months after a T10-L2 posterior spinal fusion (PSF) was performed following a motor vehicle accident. Imaging studies revealed distal hardware failure and compromise of her distal vertebral body. A lateral corpectomy and interbody fusion was performed. Discussion: We report a case of lateral lumbar corpectomy via a novel PTP approach for a patient with a significant amount of kyphosis, wound breakdown, and hardware failure. We include a review of the current literature on prone transpsoas lateral lumbar interbody fusion. Initial reports do not suggest inferiority compared to other approaches. However, given its novelty, further investigation is needed.