Transforaminal Lumbar Interbody Fusion (TLIF)

  • Burak M. Ozgur
  • Scott C. Berta
  • Samuel A. Hughes

Methods of spinal arthrodesis continue to evolve in efforts to treat back pain. The latest techniques include approaching from the anterior, posterior, lateral, and posterolateral. The transforaminal interbody lumbar fusion (TLIF) developed by Harms [1] is a modification of the posterior lumbar interbody fusion (PLIF). The procedure varies primarily in the access to the spine, being a unilateral, posterolateral approach to the spine [2]. Simultaneous pedicle screw fixation can be used to achieve anterior column stability.


Interbody Fusion Posterior Lumbar Interbody Fusion Transforaminal Lumbar Interbody Fusion Pedicle Screw Instrumentation Percutaneous Pedicle Screw 


  1. 1.
    Harms JG, Jeszenszky D. The unilateral, transforaminal approach for posterior lumbar interbody fusion. Orthop Traumatol. 1998;6:88–99.Google Scholar
  2. 2.
    Moskowitz A. Transforaminal lumbar interbody fusion. Orthop Clin No Am. 2002;33:359–366.CrossRefGoogle Scholar
  3. 3.
    Hee HT, Castro FP, Jr., Majd ME, et al. Anterior/posterior lumbar fusion versus transforaminal lumbar interbody fusion: analysis of complications and predictive factors. J Spinal Disord. 2001;14:533–540.CrossRefPubMedGoogle Scholar
  4. 4.
    Humphreys SC, Hodges SD, Patwardhan AG, et al. Comparison of posterior and transforaminal approaches to lumbar interbody fusion.Spine. 2001;26:567–571.CrossRefPubMedGoogle Scholar
  5. 5.
    Lowe TG, Tahernia AD, O‘Brien MF, et al. Unilateral transforaminal posterior lumbar interbody fusion (TLIF): indications, technique, and 2-year results. J Spinal Disord Tech. 2002;15:31–38.PubMedGoogle Scholar
  6. 6.
    Rosenberg WS, Mummaneni PV. Transforaminal lumbar interbody fusion: technique, complications, and early results. Neurosurgery. 2001;48:569–575.CrossRefPubMedGoogle Scholar
  7. 7.
    Whitecloud TS III, Roesch WW, Ricciardi JE. Transforaminal interbody fusion versus anterior–posterior interbody fusion of the lumbar spine: a financial analysis. J Spinal Disord. 2001;14:100–103.CrossRefPubMedGoogle Scholar
  8. 8.
    Brodke DS, Dick JC, Kunz DN, et al. Posterior lumbar interbody fusion. A biomechanical comparison, including a new threaded cage. Spine. 1997;22:26–31.CrossRefPubMedGoogle Scholar
  9. 9.
    Goldstein JA, McAfee PC. Minimally invasive endoscopic surgery of the spine. J So Orthop Assoc. 1996;5:251–262.Google Scholar
  10. 10.
    Lieberman IH, Willsher PC, Litwin DE, et al. Transperitoneal laparoscopic exposure for lumbar interbody fusion. Spine. 2000;25:509–515.CrossRefPubMedGoogle Scholar
  11. 11.
    Obenchain TG. Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg. 1991;1:145–149.PubMedGoogle Scholar
  12. 12.
    Olsen D, McCord D, Law M. Laparoscopic discectomy with anterior interbody fusion of L5-S1. Surg Endosc. 1996;10:1158–1163.CrossRefPubMedGoogle Scholar
  13. 13.
    Regan JJ, Aronoff RJ, Ohnmeiss DD, et al. Laparoscopic approach to L4–L5 for interbody fusion using BAK cages: experience in the first 58 cases. Spine. 1999;24:2171–2174.CrossRefPubMedGoogle Scholar
  14. 14.
    Regan JJ, Yuan H, McAfee PC. Laparoscopic fusion of the lumbar spine: minimally invasive spine surgery. A prospective multicenter study evaluating open and laparoscopic lumbar fusion. Spine. 1999;24:402–411.CrossRefPubMedGoogle Scholar
  15. 15.
    Zdeblick TA, David SM. A prospective comparison of surgical approach for anterior L4–L5 fusion: laparoscopic versus mini anterior lumbar interbody fusion.Spine. 2000;5:2682–2687.CrossRefGoogle Scholar
  16. 16.
    Ozgur BM, Yoo K, Rodriguez G, et al. Minimally-invasive technique for transforaminal lumbar interbody fusion (TLIF). Eur Spine J. 2005 November;14(9):887–894. Epub 2005 September 8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Burak M. Ozgur
    • 1
  • Scott C. Berta
    • 2
  • Samuel A. Hughes
    • 3
  1. 1.Director of Minimally Invasive Spine Surgery, Assistant Professor of Neurosurgery, Department of NeurosurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Neurosurgery Resident, Division of NeurosurgeryUniversity of California-San Diego, UCSD Medical CenterSan DiegoUSA
  3. 3.Neurosurgery Resident, Department of Neurological SurgeryOregon Health & Science UniversityPortlandUSA

Personalised recommendations