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Updated: Feb 8, 2026

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Can Minimally Invasive Transforaminal Lumbar Interbody Fusion Create Lordosis from a Posterior Approach?
Neel Anand1, Christopher Kong1
1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 800, Los Angeles, CA 90048, USA.
Abstract:
The transforaminal lumbar interbody fusion (TLIF) is a well-established 3-column fusion technique that can be used to manage lumbar stenosis, instability, and deformity. Having been in use for more than 20 years, it has evolved into many different renditions. This includes protocols using minimally invasive surgery (MIS) approaches. To avoid the development of flatback syndrome, it is important that a TLIF procedural technique is capable of reproducibly restoring lordosis. This article describes one of many MIS TLIF protocols and presents some of its previously published outcomes.
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