Minimally invasive removal of a massive L5–S1 disc protrusion with interbody stabilization (TLIF).
This video demonstrates a minimally invasive treatment of a massive L5–S1 disc herniation with neural decompression and transforaminal lumbar interbody fusion (TLIF).
Key steps include a widened left-sided fenestration, flavectomy, microdiscectomy, meticulous endplate preparation, and TLIF cage insertion with fluoroscopic confirmation of position and alignment.
Metrics: skinincision ≈25 mm; operative time 35 minutes.
Outcome: immediate neural decompression; patient discharged home on postoperative day 3 with regression of the neurological deficit.
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