Minimally invasive posterior lumbar fusion techniques

Abstract

Since the shift from open surgery to minimal access surgery on the lumbar spine, the minimally invasive lumbar interbody fusion technique has quickly evolved and has gained a prominent position as the leading minimally invasive surgical intervention for decompression and stabilization of the lower segments of the lumbar spine. Spondylolisthesis, advanced degenerative disc disease, and severe foraminal compromise from coronal imbalance are the various degenerative conditions readily amenable to being addressed with minimally invasive techniques. This chapter details the evolution of the technique, establishes a rationale for what has been termed the "mini-open” technique, and details the operative technique and operative nuances of minimally invasive transforaminal lumbar interbody fusion.