The article discusses the history and development of the minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) surgical technique for lumbar arthrodesis. The technique is considered to be highly effective and safe due to the minimization of soft tissue damage. The article traces the origins of the technique from the 1930s when the role of disc herniation in spinal instability and radiculopathy was first understood. It also discusses the various modifications of the posterior lumbar interbody fusion technique that led to the development of the TLIF in the 1980s. In the 1990s, there was a shift towards minimally invasive techniques, which eventually led to the introduction of the MIS-TLIF technique in 2002. The article explores the characteristics, variability, and outcomes of modern MIS-TLIF procedures and provides insights into future technologies that may shape the procedure
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest spine clinic in UK
Published article
The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a popular surgical technique for lumbar arthrodesis, widely considered to hold great efficacy while conferring an impressive safety profile through the minimization of soft tissue damage. This elegant approach to lumbar stabilization is the byproduct of several innovations throughout the past century. In 1934, Mixter and Barr’s paper in the New England Journal of Medicine elucidated the role of disc herniation in spinal…
Lumbar Disc Replacement Surgery Expert. Best Spinal Surgeon UK
Abstract The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a popular surgical technique for lumbar arthrodesis, widely considered to hold great efficacy while conferring an impressive safety profile through the minimization of soft tissue damage. This elegant approach to lumbar stabilization is the byproduct of several innovations throughout the past century. In 1934, Mixter,
Abstract
The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a popular surgical technique for lumbar arthrodesis, widely considered to hold great efficacy while conferring an impressive safety profile through the minimization of soft tissue damage. This elegant approach to lumbar stabilization is the byproduct of several innovations throughout the past century. In 1934, Mixter and Barr’s paper in the New England Journal of Medicine elucidated the role of disc herniation in spinal instability and radiculopathy, prompting surgeons to explore new approaches and instruments to access the disc space. In 1944, Briggs and Milligan published their novel technique, the posterior lumbar interbody fusion (PLIF), involving continuous removal of vertebral bone chips and replacement of the disc with a round bone peg. The following decades witnessed several PLIF modifications, including the addition of long pedicle screws. In 1982, Harms and Rolinger sought to redefine the posterior corridor by approaching the disc space through the intervertebral foramen, establishing the transforaminal lumbar interbody fusion (TLIF). In the 1990s, lumbar spine surgery experienced a paradigm shift, with surgeons placing increased emphasis on tissuesparing minimally invasive techniques. Spurred by this revolution, Foley and Lefkowitz published the novel MIS-TLIF technique in 2002. The MIS-TLIF has demonstrated comparable surgical outcomes to the TLIF, with an improved safety profile. Here, we present a view into the history of the posterior-approach treatment of the discogenic radiculopathy, culminating in the MIS-TLIF. Additionally, we evaluate the hallmark characteristics, technical variability, and reported outcomes of the modern MIS-TLIF and take a brief look at technologies that may define the future MIS-TLIF.
Keywords: Lumbar fusion; MIS-TLIF; Minimally invasive; Transforaminal lumbar interbody fusion.
The London Spine Unit : finest spine clinic in UK
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History and Evolution of the Minimally Invasive Transforaminal Lumbar Interbody Fusion
