Mini-open TLIF: New technique of posterior spinal fusion whith allows to prevent approach related back musck injuries

Abstract

Approach related back muscle injuries have been focused on recent years as a drawback of posterior spinal fusion. Several minimal access fusion techniques were developed to prevent back muscle injuries. The authors have developed mini-open TLIF technique in which combined midline and Wiltse approach was employed for lumbar interbody fusion. In this article, surgical techniques, learning curve, and effectiveness of mini-open TLIF against approach related back muscle injuries were demonstrated.