Alfredo Guiroy1, Bernardo de Andrada-Pereira2, Gastón Camino-Willhuber3, Pedro Berjano4, Claudio Lamartina5, Aaron J Buckland6,7,8, Martin Gagliardi9, Kaveh Khajavi10, Jay D Turner2, J Alex Thomas11, Cristiano Menezes12, Ronald Lehman13, Juan Uribe2, Jahangir Asghar1. 1. Elite Spine Health and Wellness Center, Fort Lauderdale, FL, USA. 2. Barrow Neurological Institute/St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. 3. UCI Medical Center, University of California, Irvine, USA. 4. IRRCS Istituto Ortopedico Galeazzi, Via R.Galeazzi, 4, Milan, Italy. pberjano@gmail.com. 5. IRRCS Istituto Ortopedico Galeazzi, Via R.Galeazzi, 4, Milan, Italy. 6. Melbourne Orthopedic Group, Melbourne, Australia. 7. Spine and Scoliosis Research Associate Australia, Melbourne, Australia. 8. Spine Research Center, NYU Langone, Department of Orthopedics, New York, NY, USA. 9. Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, Canada. 10. Georgia Spine and Neurosurgery Center, Atlanta, GA, USA. 11. Atlantic Brain and Spine, Wilmington, NC, USA. 12. Columna Instituto, Vila da Serra/Biocor, Belo Horizonte, Brazil. 13. The Spine Hospital at New York Presbyterian/Columbia University Medical Center, New York, NY, USA.
Abstract
PURPOSE: To describe a comprehensive setting of the different alternatives for performing a single position fusion surgery based on the opinion of leading surgeons in the field. METHODS: Between April and May of 2021, a specifically designed two round survey was distributed by mail to a group of leaders in the field of Single Position Surgery (SPS). The questionnaire included a variety of domains which were focused on highlighting tips and recommendations regarding improving the efficiency of the performance of SPS. This includes operation room setting, positioning, use of technology, approach, retractors specific details, intraoperative neuromonitoring and tips for inserting percutaneous pedicle screws in the lateral position. It asked questions focused on Lateral Single Position Surgery (LSPS), Lateral ALIF (LA) and Prone Lateral Surgery (PLS). Strong agreement was defined as an agreement of more than 80% of surgeons for each specific question. The number of surgeries performed in SPS by each surgeon was used as an indirect element to aid in exhibiting the expertise of the surgeons being surveyed. RESULTS: Twenty-four surgeons completed both rounds of the questionnaire. Moderate or strong agreement was found for more than 50% of the items. A definition for Single Position Surgery and a step-by-step recommendation workflow was built to create a better understanding of surgeons who are starting the learning curve in this technique. CONCLUSION: A recommendation of the setting for performing single position fusion surgery procedure (LSPS, LA and PLS) was developed based on a survey of leaders in the field.
PURPOSE: To describe a comprehensive setting of the different alternatives for performing a single position fusion surgery based on the opinion of leading surgeons in the field. METHODS: Between April and May of 2021, a specifically designed two round survey was distributed by mail to a group of leaders in the field of Single Position Surgery (SPS). The questionnaire included a variety of domains which were focused on highlighting tips and recommendations regarding improving the efficiency of the performance of SPS. This includes operation room setting, positioning, use of technology, approach, retractors specific details, intraoperative neuromonitoring and tips for inserting percutaneous pedicle screws in the lateral position. It asked questions focused on Lateral Single Position Surgery (LSPS), Lateral ALIF (LA) and Prone Lateral Surgery (PLS). Strong agreement was defined as an agreement of more than 80% of surgeons for each specific question. The number of surgeries performed in SPS by each surgeon was used as an indirect element to aid in exhibiting the expertise of the surgeons being surveyed. RESULTS: Twenty-four surgeons completed both rounds of the questionnaire. Moderate or strong agreement was found for more than 50% of the items. A definition for Single Position Surgery and a step-by-step recommendation workflow was built to create a better understanding of surgeons who are starting the learning curve in this technique. CONCLUSION: A recommendation of the setting for performing single position fusion surgery procedure (LSPS, LA and PLS) was developed based on a survey of leaders in the field.
Authors: Luiz Pimenta; Gabriel Pokorny; Rodrigo Amaral; Benjamin Ditty; Matheus Batista; Rafael Moriguchi; Fernando Melo Filho; William R Taylor Journal: World Neurosurg Date: 2021-02-04 Impact factor: 2.104
Authors: Oliver P Gautschi; Diego Garbossa; Enrico Tessitore; Francesco Langella; Michele F Pecoraro; Nicola Marengo; Marco Bozzaro; Joshua Beckman; Pedro Berjano Journal: J Neurosurg Sci Date: 2015-06-17 Impact factor: 2.279
Authors: Michele Davis; Skyler Jenkins; Stephen Bordes; Joe Iwanaga; Marios Loukas; Juan Uribe; Richard A Hynes; R Shane Tubbs Journal: World Neurosurg Date: 2019-05-09 Impact factor: 2.104
Authors: David S Xu; Corey T Walker; S Harrison Farber; Jakub Godzik; Shashank V Gandhi; Robert M Koffie; Jay D Turner; Juan S Uribe Journal: J Neurosurg Spine Date: 2021-12-31