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Related Experiment Video

Updated: Oct 30, 2025

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
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Transumbilical Retroperitoneal Lumbar Interbody Fusion: A Technical Note and Preliminary Case Series.

Junseok Bae1, Shin-Jae Kim1, Sang-Ho Lee1

  • 1Department of Neurosurgery, Chungdam Wooridul Spine Hospital, Seoul, Korea.

Neurospine
|July 5, 2021
PubMed
Summary

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Transumbilical lumbar interbody fusion (TULIF) offers a minimally invasive approach to spinal fusion, significantly improving patient satisfaction with reduced abdominal scarring compared to traditional anterior lumbar interbody fusion (ALIF). This technique provides effective treatment for degenerative spinal conditions with enhanced cosmetic outcomes.

Area of Science:

  • Spine surgery
  • Minimally invasive spinal techniques
  • Degenerative spinal disease

Background:

  • Anterior lumbar interbody fusion (ALIF) offers benefits like minimized posterior spinal damage and indirect foraminal decompression.
  • However, significant abdominal scarring from ALIF can decrease patient satisfaction.

Purpose of the Study:

  • To describe the transumbilical lumbar interbody fusion (TULIF) technique.
  • To report preliminary outcomes of TULIF, focusing on cosmetic results and patient satisfaction.

Main Methods:

  • A retrospective review of 154 patients who underwent TULIF at L2-3 to L4-5 levels.
  • Preoperative selection based on umbilicus location and vessel anatomy.
  • A vertical umbilical incision was utilized to minimize scar tissue.
Keywords:
Anterior lumbar interbody fusionLumbar interbody fusionScar less surgeryTransumbilical lumbar interbody fusion

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Main Results:

  • The study included 120 single-level, 31 two-level, and 3 three-level TULIF procedures.
  • All patients reported high satisfaction with their postoperative abdominal scars.
  • Scars were notably fainter compared to conventional ALIF.

Conclusions:

  • Transumbilical lumbar interbody fusion (TULIF) is a viable, minimally invasive surgical option.
  • TULIF effectively treats degenerative spinal disease while providing satisfactory cosmetic results.
  • Despite technical demands, TULIF offers substantial patient benefits.