Wiltse Tlif
Wiltse Tlif - Related Videos
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Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
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Cited by 1 •
2025
This study presents a standardized, fully navigated 3D CT O-Arm-guided workflow for minimally invasive transforaminal lumbar interbody fusion (MIS TLIF), aiming to improve workflow, surgical accuracy, and efficiency with full utility of 3D navigation in maximum steps.
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Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique
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2026
Lateral-PLIF is an advanced posterior lumbar interbody fusion technique allowing safer cage insertion with minimal neural manipulation. This article outlines the step-by-step procedure, highlighting the benefits of the bilateral approach, optimal cage orientation, high fusion rates, and low complication risks, offering a promising alternative to traditional PLIF.
FAQs
The Wiltse corridor matters because it provides a lateral paraspinal route to the lumbar disc space rather than requiring direct passage through the spinal canal. This anatomic approach supports access for disc removal, neural decompression, and implant placement while limiting the operative path through the canal itself. Its reproducible route is particularly relevant when lumbar reconstruction requires stabilization.
Removing part of the facet joint helps create access to the affected lumbar disc space through the transforaminal route. The surgeon then removes damaged disc material and decompresses affected neural structures before reconstruction. These steps combine access, neural decompression, and preparation of the disc space for an interbody cage intended to support stabilization and fusion.
The bone-filled interbody cage occupies the space between the vertebrae after damaged disc material has been removed. Its placement supports restoration of disc height and creates a setting for solid fusion, while pedicle-screw fixation typically reinforces the reconstruction. Together, these components provide structural support and contribute to improved spinal alignment and lumbar stability.
The technique may be considered for lumbar instability, degenerative disc disease, or spondylolisthesis. These conditions differ clinically, but each can create a need for lumbar reconstruction that addresses disc-space changes, neural compression, or insufficient stability. The procedure’s goals include stabilizing the affected segment, restoring disc height, promoting fusion, and reducing associated pain.
The procedure begins by using the Wiltse paraspinal corridor to reach the lumbar disc space. The surgeon removes part of the facet joint and damaged disc material, decompresses affected neural structures, and places a bone-filled interbody cage between the vertebrae. Pedicle-screw fixation typically supports the construct, completing the stabilization and fusion strategy.
Wiltse TLIF is intended to reduce pain while improving spinal alignment and segmental stability. Restoration of disc height and placement of a bone-filled cage support the goal of achieving solid fusion, whereas decompression addresses affected neural structures. These outcomes make the technique relevant to lumbar reconstruction when instability, disc degeneration, or spondylolisthesis is present.