Trans Kambin TLIF

Trans Kambin TLIF (Transforaminal Lumbar Interbody Fusion) is a minimally invasive spinal surgery technique that accesses the disc space through the Kambin’s triangle to restore stability and relieve nerve compression. It allows for faster recovery, reduced tissue damage, and improved patient outcomes compared to traditional fusion methods.

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Cannulation of Foramen

A needle is introduced into the hole in the spine from where the nerve root is exiting on the affected level under X-ray guidance and a guide wire is passed through it.

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Dilator Insertion

A 1 cm incision is made in the skin and a series of dilators are passed over the guide wire and the working channel is docked.

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Disc Preparation

The disc material is retrieved and the end plates are prepared using a series of special instruments through the working channel.

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Cage Insertion
An appropriate sized cage is inserted into the disc space in closed position and expanded inside the disc space restoring the lost disc height increasing the volume of the foramen and relieving compression on the nerve roots.
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Pedicle Screws Fixation

After disc work is done. The construct is secured by placing two screws above and below with rods on either side through minimally invasive guide wire technique with stab incisions under x-ray control.

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The Final Product

Interbody fixation achieved in an hour to hour and a half procedure through a 1cm incision, 0 blood loss, discharge home within 12 hours of surgery with an 80-90% relief of leg and back pain and improved mobility. Whole procedure done with guide wire no microscope or endoscope used.

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