Transforaminal Lumbar Interbody Fusion With Double Cages: 2-Dimensional Operative Video

We provide a step-by-step technique guide for performing a transforaminal lumbar interbody fusion (TLIF) with double cages. An illustrative case was presented with detailed narration and discussion of technical nuances. Double TLIF cages create an anterior lumbar interbody fusion-sized footprint that increases the surface area for arthrodesis and force distribution while avoiding the added morbidity of an anterior approach. An appropriate TLIF technique creates lordosis through an all-posterior approach, and using a large TLIF window avoids the need for retraction of the nerve roots or thecal sac. The patient gave informed consent for the procedure and video recording. There is no identifying information in this video. Institutional review board approval was deemed unnecessary.