Methods of discectomy and lumbar decompression continue to evolve in efforts to perform a surgical decompression. A direct decompression simply requires an operative corridor in which to access the spinal canal. We can study the same approach as some of the latest fusion techniques, including approaches from the anterior, posterior, lateral, and posterolateral. The transforaminal interbody lumbar fusion (TLIF) method developed by Harms [1] is a modification of the posterior lumbar interbody fusion (PLIF) method. The procedure varies primarily in the access to the spine, being a unilateral, posterolateral approach to the spine [2]. This is important to understand because it is an approach that can be used for various surgical goals, including discectomy, laminectomy, and interbody fusion.
Portions of this chapter are reprinted with permission from Ozgur BM, Yoo K, Rodriguez G, et al. Minimally-invasive technique for transforaminal lumbar interbody fusion (TLIF). Eur Spine J. 2005 November;14(9):887–894. Epub 2005 September 8. Reprinted with kind permission of Springer Science + Business Media.
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Ozgur, B.M., Berta, S.C., Nguyen, A.D. (2009). Discectomy and Laminectomy. In: Ozgur, B., Benzel, E., Garfin, S. (eds) Minimally Invasive Spine Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89831-5_13
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