ArticleAnnals of translational medicine2023
Step-by-step guide to robotic-guided minimally invasive transforaminal lumbar interbody fusion (MI-TLIF).
Article in Annals of translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Effectiveness and safety of robot-assisted minimally invasive transforaminal lumbar interbody fusion for degenerative lumbar spinal diseases: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Utilisation of table-mounted versus floor-mounted robotic systems for thoracolumbar fusion: a before-and-after institutional experience.Journal of robotic surgery · 2026Article
- Ten-step technique for navigated tubular transforaminal and extraforaminal lumbar interbody fusion.Journal of spine surgery (Hong Kong) · 2025Article
- Robot-assisted minimally invasive transforaminal lumbar interbody fusion with contralateral facet decortication: a novel technique for posterolateral fusion.Neurosurgical focus: Video · 2025Article
- Outcomes of Minimally Invasive Decompression Alone Versus Fusion for Predominant Back Pain.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025Article
- Impact of age on comparative outcomes of decompression alone versus fusion for L4 degenerative spondylolisthesis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Floor-Mounted Robotic Pedicle Screw Placement in Lumbar Spine Surgery: An Analysis of 1,050 Screws.Neurospine · 2023Article
- Robotic-Assisted Decompression, Decortication, and Instrumentation for Minimally Invasive Transforaminal Lumbar Interbody Fusion.JBJS essential surgical techniquesArticle
- Robotic-Assisted Minimally Invasive Transforaminal Lumbar Interbody Fusion.JBJS essential surgical techniquesArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotics in spinal surgery offers a promising potential to refine and improve the minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) technique. Suitable surgeons for this technique include those who are already familiar with robotic-guided lumbar pedicle screw placement and want to advance their skillset by incorporating posterior-based interbody fusion. We provide a step-by-step guide for robotic-guided MI-TLIF. The procedure is divided into 7 practical and detailed techniques. The steps in sequential order include: (I) planning trajectories for pedicle screws and the tubular retractor; (II) robotic-guided pedicle screw placement; (III) placement of tubular retractor; (IV) unilateral facetectomy using the surgical microscope; (V) discectomy & disc preparation; (VI) interbody implant insertion; and (VII) percutaneous rod placement. We standardize surgeon training in robotic MI-TLIF by teaching our spine surgery fellows these 7 key technical steps highlighted in this guide. Current-generation robotics offers integrated navigation capability, K-wireless placement of pedicle screws through a rigid robotic arm, compatibility with tubular retractor systems to perform facetectomy, and allows for placement of interbody devices. We have found robotic-guided MI-TLIF to be a safe procedure that allows for accurate and reliable pedicle screw placement, less collateral damage to the soft tissues of the low back, and decreased radiation exposure.
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