• Alfredo Guiroy, Bernardo de Andrada-Pereira, Gastón Camino-Willhuber, Pedro Berjano, Claudio Lamartina, Aaron J Buckland, Martin Gagliardi, Kaveh Khajavi, Jay D Turner, J Alex Thomas, Cristiano Menezes, Ronald Lehman, Juan Uribe, and Jahangir Asghar.
• Elite Spine Health and Wellness Center, Fort Lauderdale, FL, USA.
• Eur Spine J. 2022 Sep 1; 31 (9): 2239-2247.

PurposeTo 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.MethodsBetween 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.ResultsTwenty-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.ConclusionA 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.© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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