Transforaminal lumbar interbody fusion

Different methods of spinal fusion have been in use since 1911. Over the years, there have been differences among physicians as to appropriate procedures to employ for various spinal problems. This article describes a procedure known as transforaminal lumbar interbody fusion (TLIF). TLIF enables load sharing and provides for anterior column support, as well as providing a posterior tension band. It is a unilateral approach to the spine that does not expose or manipulate the dura, and provides the benefits of a 360degrees fusion without doing an anterior approach. It restores the normal anatomy of the motion segment and maintains normal lumbar lordosis, allowing patients to be mobilized quickly and resume activities early.