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Minimally Invasive Trans-foraminal Lumbar Interbody Fusion (MI-TLIF): Technique, Tips and Tricks.

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Volume 2 | Issue 2 | October 2021-March 2022 | page: 60-64 | Sanjeev Asati, Saijyot Raut, Vishal Kundnani, Amit Chugh, Ameya Rangekar, Praveen VNR Goparaju
DOI: 10.13107/bbj.2022.v02i02.023

Authors: Sanjeev Asati [1], Saijyot Raut [1], Vishal Kundnani [1], Amit Chugh [1], Ameya Rangekar [1], Praveen VNR Goparaju [1]

[1] Department of Spine Surgery, Bombay Hospital & Medical Research Centre, Mumbai, Maharashtra, India.
[2] Mumbai Spine Scoliosis and Disc Replacement Centre, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Saijyot Raut,
Clinical spine fellow, Bombay Hospital & Medical Research Centre & Mumbai Spine Scoliosis and Disc Replacement Centre, Mumbai, Maharashtra, India.
E-mail: saijyotraut@gmail.com

Abstract

Surgical interbody fusion is the main stay of treatment in many lumbar pathologies. Of these, transforaminal lumbar interbody fusion has progressively gained popularity among fusions due to its safety and satisfactory results. With the ever-ending evolution of technological advancements enabled spine surgeons to embrace minimally invasive surgeries mainly due to focal nature of the pathology. Tubular retractors have been tried and tested with very good results when used with microscopic magnification. They helps in surgical decompression and fusion through transforaminal approach with minimal footprint and have proven their versatility by delivering excellent outcomes. Near total bloodless surgery, better cosmesis, decreased hospital stay, lower pain score, early return to work, are some other proven advantages with minimally invasive transforaminal interbody fusion MIS-TLIF. However, high procedural costs and longer trajectory of learning is restraining many surgeons from adapting this technique over time tested open procedures. In this report the authors discuss about the nuances of the surgical procedure, tips and tricks to provide a comprehensive insight and better understanding.

Keywords: MIS-TLIF, Minimally invasive spine surgery, Transforaminal lumbar interbody fusion.

References

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How to Cite this Article: Asati S, Raut S, Kundnani V, Chugh A, Rangekar A, Goparaju P VNR | Minimally Invasive Trans-foraminal Lumbar Interbody Fusion (MI-TLIF): Technique, Tips and Tricks. | Back Bone: The Spine Journal | October 2021-March 2022; 2(2): 60-64.

 

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Minimal Invasive Transforaminal Lumbar Interbody Fusion for Isthmic Spondylolisthesis with Nerve Root Anomaly in Young Adult Male Football Player: Case Report

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Volume 2 | Issue 1 | April-September 2021 | page: 43-47 | Umesh Srikantha, Yadhu K Lokanath, Akshay Hari, Ravi Gopal Varma

Authors: Umesh Srikantha [1], Yadhu K Lokanath [1], Akshay Hari [1], Ravi Gopal Varma [1]

[1] Department of Neurosurgery, Centre of Excellence: Brain & Spine Aster CMI, Bengaluru, Karnataka, India.

Address of Correspondence
Dr. Yadhu K Lokanath,
Consultant Neurosurgeon, Department of Neurosurgery, Centre of Excellence: Brain & Spine Aster CMI, Bengaluru, Karnataka, India.
E-mail: dryadhu2498@gamil.com

Abstract

Interbody fusion is preferred surgical treatment for various symptomatic pathologies of lumbar spine and spondylolisthesis is one of the commonest indication. Goal is to achieve adequate bony and neural decompression, disc height restoration, deformity correction and good interbody fusion. Numerous techniques and approaches have been designed, minimal invasive tubular transforminal interbody fusion is widely accepted among them. In any case pre-operative planning and identifying any anatomical variation is prerequisite before surgery. In this article, we report, 22-year male football player, presenting with worsening low back pain, left radicular pain with neurogenic claudication. Radiographs revealed a L5-S1 Meyerding grade I isthmic spondylolisthesis with L5-S1 left sub articular disc protrusion with narrowing of lateral recess on left side and no evidence of lumbosacral nerve root anomalies on magnetic resonance imaging. Patient was planned for minimal invasive L5-S1 transforaminal interbody fusion, intraoperatively, Type 3 Neidre and Macnab root anomaly was identified, patient successful underwent interbody fusion with no acute intraoperative or postoperative complications. In follow up period, patient had no radicular pain. In our article, we summarize the incidence, classification of nerve root anomaly along with intra operative strategy for interbody fusion in presence of root anomaly and report this rare twin anomaly.
Keywords: Isthmic spondylolisthesis, nerve root anomaly, MIS TLIF, young football player.

References

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How to Cite this Article: Srikantha S, Lokanath YK, Hari A, Varma RG | Minimal Invasive Transforaminal Lumbar Interbody Fusion for Isthmic Spondylolisthesis with Nerve Root Anomaly in Young Adult
Male Football Player: Case Report | Back Bone: The Spine Journal | April-September 2021;
2(1): 43-47.

 

(Abstract) (Full Text HTML)      (Download PDF)

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