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Updated: Sep 13, 2025
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Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
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Robot-navigated minimally invasive transforaminal lumbar interbody fusion workflow
Gianluca Vadalà1,2, Fabrizio Russo1,2, Vincenzo Denaro1
1Operative Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University Hospital Foundation, Rome, Italy; and.
Neurosurgical Focus: Video
|August 1, 2025
Summary
Robot-navigated minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) improves accuracy and patient recovery for spondylolisthesis. This advanced technique enhances surgical precision and efficiency, leading to better clinical outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Medical Robotics
Background:
- Spondylolisthesis often requires surgical intervention, such as transforaminal lumbar interbody fusion.
- Minimally invasive techniques aim to reduce surgical trauma and improve recovery.
- Pedicle screw placement accuracy is critical for fusion success and neurological safety.
Purpose of the Study:
- To demonstrate the robot-navigated minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) technique.
- To highlight the benefits of navigation and robotics in MIS-TLIF for spondylolisthesis.
- To showcase improved surgical precision, efficiency, and patient outcomes.
Main Methods:
- Preoperative planning and intraoperative imaging.
- Robot-guided pedicle screw placement.
- Targeted decompression and interbody cage implantation.
Main Results:
- Enhanced accuracy in pedicle screw placement.
- Reduced operative time and radiation exposure.
- Precise implant positioning and successful spondylolisthesis correction confirmed by postoperative imaging.
Conclusions:
- Robot-navigated MIS-TLIF offers superior precision and reproducibility for treating spondylolisthesis.
- The technique optimizes safety and efficiency while minimizing tissue disruption.
- This approach contributes to improved clinical outcomes and patient recovery.
