Related Experiment Video

Updated: Feb 13, 2026

Novel Mini-open Transforaminal Lumbar Interbody Fusion
05:52

Novel Mini-open Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

752

Intervertebral Micro Access Surgery for Transforaminal Lumbar Interbody Fusion

Wilson Z Ray1, Ian G Dorward1, Robert L Masson2

  • 1Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.

Operative Neurosurgery (Hagerstown, Md.)
|March 6, 2018
PubMed
Abstract

Insights

The intervertebral micro access surgery (iMAS) technique combines open and minimally invasive spine surgery methods. This approach is effective for degenerative lumbar conditions, potentially leading to faster recovery.

Area of Science:

  • Spine surgery innovations
  • Minimally invasive surgical techniques

Background:

  • Minimally invasive spine surgery (MIS) has advanced significantly over the last 20 years.
  • The intervertebral micro access surgery (iMAS) technique merges traditional open and MIS approaches.

Purpose of the Study:

  • To detail the surgical technique and operative considerations of the iMAS approach.
  • To present a novel operative method for lumbar fusion.

Main Methods:

  • Describes a novel approach for transforaminal lumbar interbody fusion with pedicle screw fixation.
  • Details preoperative planning, surgical incision and approach, pedicle screw placement, facetectomy, discectomy, interbody device insertion, and direct decompression.

Main Results:

  • iMAS is suitable for degenerative conditions like grade I spondylolisthesis, synovial cysts, disc herniations, and recurrent disc herniations.
  • Early results indicate iMAS addresses conditions typically treated with open or MIS transforaminal lumbar interbody fusion.

Conclusions:

  • The iMAS technique offers an attractive option for specific degenerative lumbar diseases by integrating open and MIS principles.
  • Potential benefits include reduced tissue disruption, faster patient recovery, decreased blood loss, and shorter hospital stays, similar to other MIS procedures.

More Related Videos

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion05:37

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

Published on: August 6, 2019

6.9K
Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion04:42

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Published on: June 16, 2023

1.2K

Related Concept Videos

Nuclear Fusion02:45

Nuclear Fusion

The process of converting very light nuclei into heavier nuclei is also accompanied by the conversion of mass into large amounts of energy, a process called fusion. The principal source of energy in the sun is a net fusion reaction in which four hydrogen nuclei fuse and ultimately produce one helium nucleus and two positrons.
A helium nucleus has a mass that is 0.7% less than that of four hydrogen nuclei; this lost mass is converted into energy during the fusion. This reaction produces about...
33.9K
Tagging and Fusion Proteins01:24

Tagging and Fusion Proteins

Proteins are involved in several cellular processes and biochemical reactions. Analyzing a specific protein of interest requires it to be isolated from the other proteins in the cell. This is achieved by overexpressing the specific gene in a suitable host to produce large quantities of the target protein. A tag or label is recombined with the gene to produce a fusion protein containing the target protein and the tag. The tags on these fusion proteins can then be used for easy detection and...
8.5K
SNAREs and Membrane Fusion01:43

SNAREs and Membrane Fusion

Once a transport vesicle has recognized its target organelle, the vesicular membrane needs to fuse with the target membrane to unload the cargo. Transmembrane proteins called SNAREs present on organelle membranes and their vesicles, mediate vesicle fusion.
SNAREs exist in pairs that symmetrically interact and catalyze the fusion of the lipid bilayers in vesicle and target organelle. v-SNARE in the vesicle membrane are single polypeptide chains that bind to a complementary t-SNARE, composed of 2...
12.9K
Fusion of Secretory Vesicles with the Plasma Membrane01:26

Fusion of Secretory Vesicles with the Plasma Membrane

Proteins and neurotransmitters in secretory vesicles can be released from a cell upon vesicle docking, priming, and fusion with the plasma membrane. Vesicles are docked and primed in preparation for the quick exocytosis of their contents in response to a stimulus. The fusion process is mainly carried out by a SNAP Receptor or SNARE complex, consisting of synaptobrevin, syntaxin-1, and SNAP-25.
In 1993, Jim Rothman proposed that the antiparallel pairing of vesicular and transmembrane SNAREs, or...
19.0K
Phase Transitions: Melting and Freezing02:39

Phase Transitions: Melting and Freezing

Heating a crystalline solid increases the average energy of its atoms, molecules, or ions, and the solid gets hotter. At some point, the added energy becomes large enough to partially overcome the forces holding the molecules or ions of the solid in their fixed positions, and the solid begins the process of transitioning to the liquid state or melting. At this point, the temperature of the solid stops rising, despite the continual input of heat, and it remains constant until all of the solid is...
15.3K
Hybrid Zones02:29

Hybrid Zones

Hybrid zones are narrow regions where two closely related species interact, mate, and produce hybrids. Relative to either parent species, hybrids may possess distinct phenotypic or genetic differences that impact their survival and reproductive success. The genetic variances introduced by hybridization influence species diversity and speciation processes within the hybrid zone.
22.0K