Abstract
Lumbar fusion has undergone significant evolution since the standard posterior lumbar interbody fusion (PLIF) technique described by Cloward was introduced more than 50 years ago. The use of minimally invasive techniques represents the most recent modification.
The main principle of minimally invasive surgery for lumbar disc disease concentrated on reducing soft tissue injury by preserving the osseotendinous complex of the paraspinal muscles and reducing the retraction of the neural structure during decompression and interbody fusion.
In this regard, the combination of the transforaminal interbody fusion technique described by Prof. Harms in conjunction with the Wiltse [16] intermuscular approach is today the best way to perform 360-degree lumbar fusion.
This chapter will introduce the techniques and anatomical structures critical to understanding minimally invasive transforaminal fusion surgery. When applied to degenerative lumbar spine disease, the results are more positive than the standard technique. Patients have less blood loss during surgery, their hospital stays are shorter, and clinical postoperative symptoms are reduced.
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Schmidt, F., Schoenmayr, R. (2014). Mini-open Transforaminal Lumbar Interbody Fusion for Degenerative Diseases. In: Ramina, R., de Aguiar, P., Tatagiba, M. (eds) Samii's Essentials in Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54115-5_45
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