ArticleGlobal spine journal2023
Location of the Femoral Nerve in the Lateral Decubitus Versus Prone Position.
Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- The Prone-Angled Transpsoas Approach: Utilizing Position, Approach, Navigation, and Neuromonitoring in Prone Lateral Surgery.Neurosurgery practice · 2026Article
- The Efficacy of Prone Single-Position Lateral Lumbar Interbody Fusion for Symptomatic Cranial Adjacent Segment Degeneration.Journal of clinical medicine · 2026Article
- A surgical technique for tape-free lateral decubitus positioning in lateral lumbar interbody fusion using a novel mechanical patient positioner.Annals of joint · 2026Article
- Comparative analysis of acute postoperative pain and opioid use between lateral transpsoas, anterior, and transforaminal lumbar interbody fusions.North American Spine Society journal · 2025Article
- Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications.International journal of spine surgery · 2025Article
- Establishment of the prone transpsoas fusion surgery in Australia-a survey and analysis of major complications in early adopters.Journal of spine surgery (Hong Kong) · 2025Article
- Minimally invasive prone lateral retropleural or retroperitoneal antepsoas approach spinal surgery using the rotatable radiolucent Jackson table.Journal of spine surgery (Hong Kong) · 2024Article
- Surgical outcome after treatment of thoracolumbar spinal stenosis in adults with achondroplasia.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Single position, prone oblique lateral interbody fusion (OLIF)-case illustration and technical considerations.Journal of spine surgery (Hong Kong) · 2024Article
- Single-Position Prone Lateral Lumbar Interbody Fusion Technique Guide: Surgical Tips and Tricks.International journal of spine surgery · 2024Article
- Advancing Prone-Transpsoas Spine Surgery: A Narrative Review and Evolution of Indications with Representative Cases.Journal of clinical medicine · 2024Review
- Comparison of standard and modified prone positioning for lateral lumbar spine fusion: a feasibility study to reduce lumbar plexus injury.Journal of spine surgery (Hong Kong) · 2023Article
- Prone Transpsoas Lateral Interbody Fusion (PTP LIF) with Anterior Docking: Preliminary functional and radiographic outcomes.North American Spine Society journal · 2023Article
- Prone position lateral interbody fusion-a narrative review.Journal of spine surgery (Hong Kong) · 2023Review
- A retrospective review of single-position prone lateral lumbar interbody fusion cases: early learning curve and perioperative outcomes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- The Prone Lateral Approach for Lumbar Fusion-A Review of the Literature and Case Series.Medicina (Kaunas, Lithuania) · 2023Review
- Extreme lateral interbody fusion (XLIF) approach for L5-S1: Preliminary experience.Frontiers in surgery · 2022Article
- Robotic-Assisted Single-Position Prone Lateral Lumbar Interbody Fusion: Indications, Techniques, and Outcomes.JBJS essential surgical techniquesArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCadaveric study.
objectiveTo compare the position of the femoral nerve within the lumbar plexus at the L4-L5 disc space in the lateral decubitus vs prone position.
methodsSeven lumbar plexus specimens were dissected and the femoral nerve within the psoas muscle was identified and marked with radiopaque paint. Lateral fluoroscopic images of the cadaveric specimens in the lateral decubitus vs prone position were obtained. The location of the radiopaque femoral nerve at the L4-L5 disc space was normalized as a percentage of the L5 vertebral body (0% indicates posterior location and 100% indicates anterior location at the L4-L5 disc space). The location of the femoral nerve at L4-L5 in the lateral decubitus vs prone position was compared using a paired t test.
resultsIn the lateral decubitus position, the femoral nerve was located 28% anteriorly from the posterior edge of the L4-L5 disc space, and in the prone position, the femoral nerve was relatively more posterior, located 18% from the posterior edge of the L4-L5 disc space (
conclusionsThe femoral nerve was on average more posteriorly located at the L4-L5 disc space in the prone position compared to lateral decubitus. This more posterior location allows for a larger safe zone at the L4-L5 disc space, which may decrease the incidence of neurologic complications associated with Lateral lumbar interbody fusion in the prone vs lateral decubitus position; however, further studies are needed to evaluate this possible clinical correlation.
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