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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
Transforaminal Endoscopic Solutions for Anterior Lumbar Interbody Fusion Complications
Albert E Telfeian1, Jian Shen2, Elias Shaaya1
1Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Background:
Anterior lumbar interbody fusion (ALIF) is a widely performed lumbar fusion procedure especially suited for treating lower lumbar degenerative disk disease, discogenic disease, and revision of failed posterior fusion. Advantages of the technique include maximizing implant size and correction of lordosis, and disadvantages include approach-related complications such as retrograde ejaculation, visceral injury, and vascular injury.
Methods:
Transforaminal endoscopic spine surgery is an effective minimally invasive surgical approach that can be utilized to treat many complications of complex spine procedures.
Results:
Reported here are 2 cases illustrating the success of treating recurrent lumbar radiculopathy with transforaminal endoscopic spine surgery as a minimally invasive solution to an ALIF complication.
Conclusions:
Transforaminal endoscopic spine surgery is suggested here as a possible treatment approach for lumbar radiculopathy after ALIF.
