Robot-assisted lumbar fixation in single lateral position: OLIF L4–5, ALIF L5–S1, and L4–S1 percutaneous pedicle screws

The integration of robot-assisted spine surgery (RASS) and single lateral position surgery (SLPS) has revolutionized spinal fusion by enhancing efficiency, reducing surgical time, and improving patient outcomes. This video demonstrates a step-by-step procedural workflow for robot-assisted OLIF L4-L5, ALIF L5-S1, and percutaneous pedicle screw fixation (L4-S1) in a single lateral decubitus position using the ExcelsiusGPS system. The workflow highlights preoperative CT-based planning, intraoperative image fusion, real-time navigation, and robot-guided implant placement. SLPS eliminates the need for patient repositioning, reduces anesthesia duration, and enhances operating room efficiency, showcasing the role of robotics and innovative positioning strategies in modern spine surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID257.