Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF): surgical technique, long-term 4-year prospective outcomes, and complications compared with an open TLIF cohort.
Transforaminal lumbar interbody fusion (TLIF) is an important surgical option for the treatment of back pain and radiculopathy. The minimally invasive TLIF (MI-TLIF) technique is increasingly used to achieve neural element decompression, restoration of segmental alignment and lordosis, and bony fusion. This article reviews the surgical technique, outcomes, and complications in a series of 144 consecutive 1- and 2-level MI-TLIFs in comparison with an institutional control group of 54 open traditional TLIF procedures with a mean of 46 months' follow-up. The evidence base suggests that MI-TLIF can be performed safely with excellent long-term outcomes.
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 St. Clair, Suite 2210, Chicago, IL 60611, USA.
Albert P
AP
Wong
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 St. Clair, Suite 2210, Chicago, IL 60611, USA.
Zachary A
ZA
Smith
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 St. Clair, Suite 2210, Chicago, IL 60611, USA.
James A
JA
Stadler
Department of Orthopaedics, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an, Shaanxi 710032, China.
Xue Yu
XY
Hu
Department of Orthopaedics, Beijing Tiantan Hospital, The Capital Medical University, Beijing 100050, People's Republic of China.
Jia Zhi
JZ
Yan
Department of Orthopaedic Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, People's Republic of China.
Xin Feng
XF
Li
The Spine Clinic of Los Angeles, Good Samaritan Hospital, University of Southern California, 1245 Wilshire Blvd, Suite 717, Los Angeles, CA 90117, USA.
Ji Hyun
JH
Lee
The Spine Clinic of Los Angeles, Good Samaritan Hospital, University of Southern California, 1245 Wilshire Blvd, Suite 717, Los Angeles, CA 90117, USA. Electronic address: lkhoo@laspineclinic.com.
Larry T
LT
Khoo
D006801:Humans; D007431:Intraoperative Complications; D008159:Lumbar Vertebrae / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011446:Prospective Studies; D013123:Spinal Fusion; D016896:Treatment Outcome
Minimally invasive spine; Minimally invasive surgery; Spine surgery outcomes; TLIF; TLIF complications; Transforaminal lumbar interbody fusion