Letter to the editor regarding “Lateral decubitus single position anterior posterior surgery improves operative efficiency, improves perioperative outcomes, and maintains radiological outcomes comparable with traditional anterior posterior fusion at minimum 2-year follow-up” by Buckland et al.

It is a great pleasure to have the chance reading your article [ [1] Buckland AJ Braly BA O'Malley NA Ashayeri K Protopsaltis TS Kwon B et al. Lateral decubitus single position anterior posterior surgery improves operative efficiency, improves perioperative outcomes, and maintains radiological outcomes comparable with traditional anterior posterior fusion at minimum 2-year follow-up. Spine J. 2023; 23: 685-694 Abstract Full Text Full Text PDF Scopus (0) Google Scholar ]! There are a few opinions I would like to share with you. Reply to letter to the editor regarding “Lateral decubitus single position anterior posterior surgery improves operative efficiency, improves perioperative outcomes, and maintains radiological outcomes comparable with traditional anterior posterior fusion at minimum 2-year follow-up”The Spine JournalVol. 24Issue 1PreviewRegarding the questions on operating time differences between the LSPS and Flip groups and comparisons with prior literature, you have quoted a literature review by Mills et al [1] in comparison. Mills et al included four studies that had comparator groups in operating times between LSPS and Flip groups. One of these was our prior series; the other three papers were involving LLIF and posterior fusion only and did not include any ALIF comparisons. One of these three papers was based in the USA (Ziino et al [2]), which demonstrated a 77-minute reduction in operative time (149 vs 226 minutes) in 66 patients (42 LSPS vs 24 Flip). Full-Text PDF