Minimally Invasive Transforaminal Lumbar Interbody Fusion: "Skin-to-Skin" Technique Guide

Abstract

Minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) is well-suited for posterior lumbar reconstruction in which direct decompression, posterior interbody fusion, and pedicle screw instrumentation are needed. The primary goals of MIS TLIF are to avoid injury to the multifidus muscle through preservation of the tendon origin at the spinous process, particularly at the adjacent level above the fusion site, and to avoid aggressive retraction of the paraspinal muscles. Various techniques exist to successfully accomplish the intended goals of the procedure. The specific technique described in this article represents one variation used by the primary author (CWK). General concepts and techniques for minimally invasive posterior lumbar surgery are reviewed in a companion article that appears in this issue of . The video is used in accordance with the permission of Globus Medical, Inc.

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