Table of Contents
ISRN Minimally Invasive Surgery
Volume 2013, Article ID 143029, 8 pages
Research Article

Two-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: Surgical Technique and Illustrative Cases

Department of Neurosurgery, Georgetown University Hospital, 3800 Reservoir Road NW, PHC-7, Washington, DC 20007, USA

Received 9 July 2013; Accepted 28 July 2013

Academic Editors: Y. Izci, W. Kolb, and P. Spennato

Copyright © 2013 Rory J. Petteys et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Transforaminal lumbar interbody fusion (TLIF) is a common procedure performed by spine surgeons. The indications for TLIF include back pain and radiculopathy as a consequence of canal or foraminal stenosis, degenerative disc disease, spondylolisthesis, or deformity. Minimally invasive techniques (MIS) have proven to be effective for single-level TLIF and are associated with less blood loss, fewer wound complications and infections, faster recovery, and decreased hospital cost. To date, there is very little data on 2-level MIS TLIF. We present our technique for 2-level MIS TLIF with case illustrations and a review of the literature.