Clinical and Radiologic Outcomes of Minimally Invasive Surgery Transforaminal Lumbar Interbody Fusion with Computer Navigation

  • Agustin Miguel G. Morales
  • Jose Joefrey F. Arbatin Jr.
  • Eric Astelo O. Belarmino
  • Oliver Y. Ong
  • Hester Renel L. Palma
Keywords: Computer Navigated Minimally Invasive Surgery, Transforaminal Lumbar Interbody Fusion, Computer Navigated Spine Surgery


Objective. The main objective of this study was to evaluate clinical and radiographic outcomes of computer minimally invasive transforaminal lumbar interbody fusion (CNMIS TLIF).

Methods. Blood loss, operating time, complications, and hospital stay were identified through chart review. Numeric rating scale (NRS) scores for pain were taken during recent follow-ups, and these were compared to the pre-operative scores. Three different examiners assessed the pre-operative lumbosacral spine radiographs. At a 2-years follow-up, the patients were evaluated with NRS and the radiographs reassessed by three other examiners.

Results. Seventy-four patients with a mean age of 54 years underwent CNMIS TLIF. Average blood loss was 300 mL, operative time was 4.5 hours, and the average length of hospital stay was 8.5 days. A total of four complications were noted in our study. There was an improvement of mean local lordosis and regional lordosis. The paired-sample t-test showed that the anterior, middle, and posterior disc heights at the cage level were significantly increased compared to the pre-operative values.

Conclusion. CNMIS TLIF is a safe and efficient method to achieve spinal fusion. There was a significant improvement in clinical outcomes in terms of pain relief. Radiologic parameters such as local lordosis, regional lordosis, and anterior, middle, and posterior disc heights showed significant improvements at 2-years follow-up.