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Updated: Dec 13, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Ten-Step Biportal Endoscopic Transforaminal Lumbar Interbody Fusion Under Computed Tomography-Based Intraoperative
Javier Quillo-Olvera1, Javier Quillo-Reséndiz1, Diego Quillo-Olvera1
1The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Department of Neurosurgery, Spine Clinic at Hospital Star Médica, Querétaro City, Mexico.
Background:
The principal advantage of intraoperative spinal navigation is the ease of screw placement. However, visualization and the integration of navigation can be explored with the use of navigation-guided full-endoscopic techniques.
Objective:
To describe the stepwise intraoperative navigation-assisted unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) technique and to present our preliminary results in a Mexican population.
Methods:
A 10-step summary of the UBE-TLIF operative technique was described, and the clinical and radiological results are presented and analyzed.
Results:
A total of 7 patients were treated. We observed the value of integrating navigation and endoscopic visualization when decompression had to be performed.
Conclusion:
Together, intraoperative navigation and direct visualization through the endoscope may be a useful surgical tool for surgeons with experience in endoscopic spinal surgery.

