Intraoperative navigation for accurate midline placement of anterior lumbar interbody fusion and total disc replacement prosthesis.

Anterior lumbar approach techniques for the management of discogenic back pain and placement of spinal instrumentation such as fusion and disc replacement prosthesis is becoming increasingly popular. To date, no studies have reported the clinical usage of spinal navigation with anterior lumber interbody fusion (ALIF) and total disk replacement (TDR). We describe a surgical procedure of a 35-year-old patient presenting with discogenic lower back pain treated with an anterior lumbar interbody fusion and total disc replacement procedure to highlight the clinical advantages of intraoperative CT spinal navigation for accurate implant placement, therefore optimising peri- and post-operative outcomes.