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Updated: Dec 21, 2025

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

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

Published on: August 6, 2019

Transfacet Minimally Invasive Transforaminal Lumbar Interbody Fusion With an Expandable Interbody Device-Part I:

Jawad M Khalifeh¹, Christopher F Dibble¹, Priscilla Stecher¹

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

Operative Neurosurgery (Hagerstown, Md.)

|May 21, 2020

Summary

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This summary is machine-generated.

This study introduces a novel transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) technique. This approach enhances decompression and fusion for lumbar degenerative conditions.

Area of Science:

Spinal surgery
Minimally invasive spine procedures
Lumbar fusion techniques

Background:

Minimally invasive spine surgery (MIS) techniques have advanced patient outcomes.
Standard MIS-TLIF aims to reduce morbidity and recovery time.
Further refinements in MIS-TLIF are explored to optimize results.

Observation:

A 72-year-old male with left lumbar radiculopathy and L4-L5 degenerative anterolisthesis underwent transfacet MIS-TLIF.
Preoperative imaging revealed spinal canal and neuroforaminal stenosis.
The procedure involved detailed preoperative planning, positioning, and a specific surgical corridor approach.

Findings:

The transfacet MIS-TLIF technique involves limited bony resection of the superior articular process.

Keywords:

Transfacet MIS-TLIF Expandable interbody device Indirect decompression Minimally invasive lumbar fusion Spondylolisthesis

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Contralateral facet joint decortication and release facilitate indirect decompression and fusion.

Placement of an expandable interbody device enhances indirect decompression of neural elements.

Implications:

The transfacet MIS-TLIF utilizes a unique bony corridor for disc space access.
This technique offers a feasible solution for lumbar spinal reconstruction.
It maximizes direct and indirect decompression for conditions like degenerative disc disease and low-grade spondylolisthesis.