Wilson John P, Ronkon Charles, Burkhardt Edward, Hoang Stanley
Department of Neurosurgery, Louisiana State University Health Sciences, Shreveport, Louisiana.
Neurosurg Focus Video. 2025 Jul 1;13(1):V6. doi: 10.3171/2025.4.FOCVID24148. eCollection 2025 Jul.
Lumbar spondylolisthesis can lead to symptoms of mechanical back pain and radiculopathy. Surgical treatment aims to address dynamic instability and foraminal stenoses. While various alternatives exist to treat this clinical presentation, the single-position prone lateral interbody fusion has recently emerged as a popular technique. This operative video illustrates the treatment of a grade 1 L3-4 spondylolisthesis with a single-position prone lateral transpsoas interbody fusion with percutaneous instrumentation using the Mazor X Stealth robotic system. Detailed step-by-step techniques with operative pearls are provided to help surgeons incorporate the nuances of robotic navigation to the single-position prone lateral procedure. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID24148.
腰椎滑脱可导致机械性背痛和神经根病症状。手术治疗旨在解决动态不稳定和椎间孔狭窄问题。虽然有多种方法可治疗这种临床表现,但单体位俯卧位侧方椎间融合术最近已成为一种流行技术。本手术视频展示了使用Mazor X Stealth机器人系统,通过单体位俯卧位经腰大肌侧方椎间融合术及经皮器械固定治疗1度L3 - 4腰椎滑脱。文中提供了详细的分步技术及手术要点,以帮助外科医生将机器人导航的细微之处融入到单体位俯卧位侧方手术中。视频链接如下:https://stream.cadmore.media/r10.3171/2025.4.FOCVID24148