Evidence map›Paper›PMID 40242818›Full record

ArticleJournal of spine surgery (Hong Kong)2025

Establishment of the prone transpsoas fusion surgery in Australia-a survey and analysis of major complications in early adopters.

Vijidha Shree Rajkumar, Brian Owler, Bryden Dawes, Idrees Sher, Yi Yuen Wang

Abstract read
In one paragraph

Article in Journal of spine surgery (Hong Kong), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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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

5 authors.

Vijidha Shree RajkumarO Spine, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0002-4770-9055
Brian OwlerDepartment of Neurosurgery, Sydney Adventist Hospital, Sydney, NSW, Australia.
Bryden DawesDepartment of Neurosurgery, St Vincent's Private Hospital, Melbourne, VIC, Australia.
Idrees SherDepartment of Neurosurgery, Epworth Hospital, Melbourne, VIC, Australia.
Yi Yuen WangDepartment of Neurosurgery, St Vincent's Private Hospital, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prone transpsoas (PTP) fusion is a single-position variant of direct transpsoas interbody reconstruction that is increasing in popularity in Australia. This technique provides simultaneous access to the anterior and posterior columns while maintaining the familiar prone position and utilising position-specific equipment. However, major vascular, visceral, and neurological complications associated with the procedure remain a concern for spine surgeons. Our study aims to elucidate the safety profile of PTP fusion among early adopters in Australia. Methods: Australian surgeons interested in the PTP approach underwent surgical education and training prior to their first PTP procedure. All PTP-trained surgeons were invited to participate in the study through an online survey of 14 questions querying their PTP experience. Of the 20 PTP-trained surgeons, 16 responded to the survey, representing 293 out of 327 PTP surgeries completed in Australia from March 2023 to May 2024. Results: The survey was completed by 16 surgeons (80%) from the Australian PTP community, encompassing 293 PTP surgeries (90%) completed. The surgeon cohort reported no major vascular or visceral complications. There are two cases (0.68%) of weakness of the psoas muscle, two cases (0.68%) of sustained motor deficits, and four cases (1.37%) of sensory deficits. Additionally, there are two cases (0.68%) of vertebral fractures or implant subsidence requiring re-operation and four cases (1.37%) of surgical site infections. Conclusions: Our study shows the successful establishment of PTP procedure following a PTP surgical training model. The survey's high response rate reinforces the low complication rates encountered by our surgeons and adds to the safety profile of this novel procedure. Additionally, it underscores the significance of surgical education and training opportunities in minimally invasive spinal fusion techniques.

Indexed as

complicationsearly adoptersProne transpsoas (PTP)single-position prone interbody fusiontraining

Identifiers

PMID40242818
PMCPMC11998036

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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.