Evidence map›Paper›PMID 38398424›Full record

ReviewJournal of clinical medicine2024

Advancing Prone-Transpsoas Spine Surgery: A Narrative Review and Evolution of Indications with Representative Cases.

Peter N Drossopoulos, Anas Bardeesi, Timothy Y Wang, Chuan-Ching Huang, Favour C Ononogbu-Uche, Khoi D Than, Clifford Crutcher, Gabriel Pokorny, Christopher I Shaffrey, John Pollina and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Use of expandable lateral lumbar interbody devices to restore disc height and segmental lordosis: a cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Peter N DrossopoulosDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.ORCID 0009-0009-5659-0445
Anas BardeesiDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.ORCID 0000-0003-3154-8688
Timothy Y WangDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.
Chuan-Ching HuangDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.
Favour C Ononogbu-UcheDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.
Khoi D ThanDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.
Clifford CrutcherDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.ORCID 0000-0002-3296-001X
Gabriel PokornyInstitute of Spinal Pathology, Sao Paulo 04101000, SP, Brazil.
Christopher I ShaffreyDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.
John PollinaDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY 14203, USA.
William TaylorDepartment of Neurological Surgery, University of California, La Jolla, San Diego, CA 92093, USA.
Deb A BhowmickDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.
Luiz PimentaInstitute of Spinal Pathology, Sao Paulo 04101000, SP, Brazil.
Muhammad M Abd-El-BarrDivision of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.ORCID 0000-0001-7151-2861
Duke University · USUniversity at Buffalo, State University of New York · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Prone Transpsoas (PTP) approach to lumbar spine surgery, emerging as an evolution of lateral lumbar interbody fusion (LLIF), offers significant advantages over traditional methods. PTP has demonstrated increased lumbar lordosis gains compared to LLIF, owing to the natural increase in lordosis afforded by prone positioning. Additionally, the prone position offers anatomical advantages, with shifts in the psoas muscle and lumbar plexus, reducing the likelihood of postoperative femoral plexopathy and moving critical peritoneal contents away from the approach. Furthermore, operative efficiency is a notable benefit of PTP. By eliminating the need for intraoperative position changes, PTP reduces surgical time, which in turn decreases the risk of complications and operative costs. Finally, its versatility extends to various lumbar pathologies, including degeneration, adjacent segment disease, and deformities. The growing body of evidence indicates that PTP is at least as safe as traditional approaches, with a potentially better complication profile. In this narrative review, we review the historical evolution of lateral interbody fusion, culminating in the prone transpsoas approach. We also describe several adjuncts of PTP, including robotics and radiation-reduction methods. Finally, we illustrate the versatility of PTP and its uses, ranging from 'simple' degenerative cases to complex deformity surgeries.

Indexed as

deformityfusionLLIFprone-transpsoasPTPspine

Identifiers

PMID38398424
PMCPMC10889296
OpenAlexW4391881620

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.