Depicts a patient laying prone on an open Jackson frame in the ‘Superman’ position with their arms extended. Around the chest and hips of the patient, affixed to the Jackson frame, is a custom PTP bolster (Alphatec Spine, Carlsbad, CA, USA). Each of the attachment points allows for independent coronal bending which facilitates greater access to lower lumbar segments (chest bolster rotated clockwise, hip bolster rotated counterclockwise). Reprinted from World Neurosurgery, Volume 149, Tyler G Smith, John Pollina, Samuel A Joseph Jr, Kelli M Howell, Effects of Surgical Positioning on L4-L5 Accessibility and Lumbar Lordosis in Lateral Transpsoas Lumbar Interbody Fusion: A Comparison of Prone and Lateral Decubitus in Asymptomatic Adults, e705–e713, Copyright (2021), with permission from Elsevier [18].