Minimally Invasive Transforaminal Lumbar Interbody Fusion: Strategies for Creating Lordosis with a Posterior Approach

Teerachat Tanasansomboon; Jerry E Robinson 3rd; Neel Anand

doi:10.1016/j.nec.2023.06.014

Minimally Invasive Transforaminal Lumbar Interbody Fusion: Strategies for Creating Lordosis with a Posterior Approach

Neurosurg Clin N Am. 2023 Oct;34(4):643-651. doi: 10.1016/j.nec.2023.06.014. Epub 2023 Jul 27.

Authors

Teerachat Tanasansomboon¹, Jerry E Robinson 3rd², Neel Anand³

Affiliations

¹ Department of Orthopedic Surgery, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 901, Los Angeles, CA 90048, USA; Board of Governors Regenerative Medicine Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Orthopedics, Center of Excellence in Biomechanics and Innovative Spine Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
² University of Pittsburg Medical Center (UPMC), Harrisburg, PA, USA.
³ Department of Orthopedic Surgery, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 901, Los Angeles, CA 90048, USA. Electronic address: [email protected].

PMID: 37718110
DOI: 10.1016/j.nec.2023.06.014

Abstract

The purpose of this article is to review the outcomes concerning lumbar lordosis restoration after the MIS-TLIF and to present strategies to create lumbar lordosis by using this MIS posterior approach. MIS-TLIF is an effective MIS lumbar interbody fusion that can achieve lumbar lordosis restoration. Several crucial steps aid in this sagittal profile correction during the MIS-TLIF, including the appropraite prone positioning, optimizing disc space preparation, maximizing disc space height, anterior interbody cage placement, and reducing the spondylolisthesis.

Keywords: Lumbar lordosis; MIS-TLIF; Minimally invasive transforaminal lumbar interbody fusion; Sagittal; Spinal alignment; Spinopelvic parameter.

Publication types

Review

MeSH terms

Animals
Humans
Lordosis* / surgery
Lumbar Vertebrae / surgery
Lumbosacral Region
Minimally Invasive Surgical Procedures
Spinal Fusion*