Minimally Invasive Transforaminal Lumbar Interbody Fusion
The minimally invasive transforaminal lumbar interbody fusion approach is a versatile technique for the surgical treatment of a multitude of degenerative spinal maladies. It represents a robust and durable approach that provides three-column stability and significant pain relief. The TLIF technique involves a complete facetectomy and thereby allows for a more lateral exposure to the disk space obviating neural retraction. This chapter describes the indications and contraindications for the MIS TLIF approach. We describe the detailed technique necessary to successfully accomplish restoration of lordotic curvature. In order to enhance clinical outcomes, pearls and pitfalls pertaining to the approach are addressed. Also, possible surgical complications are herein described, and specific ways to avoid these errors are reported. Lastly, a review of the most current literature related to the MIS TLIF approach provides evidence of the advantages, feasibility, and applications of the technique.
KeywordsMinimally invasive TLIF Muscle splitting Tubular access Pedicle screws
No funds were received in support of this work. No benefits in any form have been or will be received from any commercial party related directly or indirectly to the subject of this manuscript.
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