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Related Experiment Video

Updated: Jun 17, 2026

Novel Mini-open Transforaminal Lumbar Interbody Fusion
05:52

Novel Mini-open Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

Two-levels mini-open transforaminal lumbar interbody fusion: technical note.

P Scarone1, J F Lepeintre, S Bennis

  • 1Department of Neurosurgery, Hôpital Foch, Suresnes, France. pietroscarone@yahoo.it

Minimally Invasive Neurosurgery : MIN
|January 16, 2010
PubMed
Summary

The mini-open transforaminal lumbar interbody fusion (oTLIF) technique is effective for two-level lumbar spinal stenosis, offering less muscle trauma and faster recovery than open surgery. It also allows for bilateral decompression and cage insertion, unlike percutaneous approaches.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Fusion Techniques

Background:

  • The mini-open transforaminal lumbar interbody fusion (oTLIF) is an established technique for single-level lumbar spinal stenosis.
  • Advancements in minimally invasive spine surgery aim to reduce patient morbidity while maintaining surgical efficacy.

Observation:

  • This study evaluated eight patients with two-level lumbar spinal stenosis treated with minimally invasive spinal arthrodesis using tubular retractors.
  • The oTLIF approach facilitated direct visualization of pedicular entry points and enabled bilateral cage insertion in all cases.
  • No instances of screw malpositioning were reported in this cohort.

Findings:

  • Minimally invasive oTLIF is a viable option for two-level lumbar degenerative disease, offering a balance between surgical access and patient recovery.

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Last Updated: Jun 17, 2026

Novel Mini-open Transforaminal Lumbar Interbody Fusion
05:52

Novel Mini-open Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

  • Compared to open TLIF, oTLIF resulted in decreased postoperative muscular trauma and accelerated patient recovery, particularly for patients requiring extensive open incisions.
  • The oTLIF technique provided bilateral root decompression and allowed for bilateral cage insertion, advantages over percutaneous TLIF (pTLIF).

    • Implications:

    • The oTLIF technique presents a favorable surgical option for select patients with complex two-level lumbar spinal stenosis.
    • This minimally invasive approach may enhance patient outcomes by minimizing surgical trauma and expediting the recovery process.
    • Further research could explore long-term outcomes and cost-effectiveness of oTLIF for multi-level lumbar fusions.