Combined mini transforaminal lumbar inter body fusion with percutaneouspedicle screw fixation in degenerative lumbar disease

Background : MIS-TLIF (minimally invasive transforaminal lumbar interbody fusion) is a well-known surgical procedure. However, there are just a few instances of MIS-TLIF employing a single cage and a midline approach . Aim : to know the results of performing combined mini TLIF fusion with percutaneous pedicle screw fixation for the treatment of degenerative lumbar diseases. Subjects and Methods : A total of 12 patients were done at Benha university hospital and tracked for a total of 12 months. The rate of fusion and the change in disc height are among the radiological data. Clinical outcomes were measured using the visual analogue score (VAS) and the Oswestry disability index (ODI). Results . The mean age of these patients at operation was 50 years (range, 45–62 years). Evidence of fusion was observed radiologically in 64.71% at 6 months and 87.5% at 12 months after surgery. The mean VAS scores for back and leg pain and ODI scores improved significantly at the final follow-up. Conclusions : The clinical and radiologic results of MIS-TLIF employing a midline approach and a banana cage in patients suggest that it is a viable therapeutic option for a variety of degenerative lumbar spine disorders.