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Case Reports
. 2019 Apr 1;46(4):E16.
doi: 10.3171/2019.1.FOCUS18510.

A novel technique for awake, minimally invasive transforaminal lumbar interbody fusion: technical note

Andrew Kai-Hong Chan, Winward Choy, Catherine A Miller, Leslie C Robinson, Praveen V Mummaneni
Case Reports

A novel technique for awake, minimally invasive transforaminal lumbar interbody fusion: technical note

Andrew Kai-Hong Chan et al. Neurosurg Focus. .

Abstract

Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) is associated with improved patient-reported outcomes in well-selected patients. Recently, some neurosurgeons have aimed to further improve outcomes by utilizing multimodal methods to avoid the use of general anesthesia. Here, the authors report on the use of a novel awake technique for MI-TLIF in two patients. They describe the successful use of liposomal bupivacaine in combination with a spinal anesthetic to allow for operative analgesia.

Keywords: EBL = estimated blood loss; IONM = intraoperative neuromonitoring; JP = Jackson-Pratt; MI = minimally invasive; TID = three times a day; TLIF; TLIF = transforaminal lumbar interbody fusion; VAS = visual analog scale; anesthesia; awake; minimally invasive; spine; transforaminal lumbar interbody fusion.

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