Cirugía de mínima invasión. Fusión intersomática lumbar transforaminal. Argumento de posición grupo de estudio cirugía vertebral Latinoamérica

Abstract

Introduction: minimally invasive spine surgery (MISS) has had an exponential development in the last two decades, offering wide intrasurgical and post-surgical benefits compared to open techniques; The MIS-TLIF technique is a recent alternative that involves a paramedian approach, tubular retractor and microscope or endoscope, which gives us the possibility of performing a transforaminal interbody fusion with adequate release of the neural and foraminal canals, all through a single approach «Over-the-top». Objective: to discuss and generate recommendations on the MIS-TLIF, focusing on technical and news to unify criteria and establish a current panorama of competence for spine physicians in training. Material and methods: through a consensus and the criteria of 3 spine surgeons who are experts in minimally invasive surgery using relevant search criteria with MIS-TLIF, which stood out: definition, techniques, benefits, complications, material resources and training for surgeons in training, in the Google scholar, PubMed search engines in English and Spanish from 2000 to 2021. Results: 16 steps could be identified and created sequentially as a support for surgeons in minimally invasive training, demonstrating the versatility and easy diffusion of MIS-TLIF always with the training of an experienced spine surgeon. Conclusion: the MIS-TLIF technique is a versatile surgery that should be diffused in all training centers for spine surgery since it allows us to perform interbody fusions and decompressions from T12 to S1 with positive impact recovery in the short and medium postoperative period term compared to open techniques.