Minimally invasive transforaminal lumbar interbody fusion (TLIF)

A spinal fusion procedure that fuses the front and back section of the spine through a posterior approach. If you have nerve or disc problems in your spine, our consultants can treat you with minimally invasive fusion surgery.

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About TLIF

Transforaminal lumbar interbody fusion (TLIF) treats compressed nerves and/or disc problems in your lower (lumbar) spine.

It's a minimally invasive procedure, where two or more of your vertebrae are fused together.

This can lead to shorter hospital stays and quicker recovery times than other treatments for this injury.

Need to know 

TLIF is carried out under general anaesthetic. Once you are asleep, your surgeon will likely follow these steps during the procedure:

- Make an incision in the middle of your back at the level of the spine needing treatment.

- Your surgeon will then insert a small tube in this area, resting it on your spine, and using X-rays to confirm the location.

- Using a microscope and special instruments, your surgeon carefully will pull back muscle and tissue through the tube from around the spine.

- Once the disc has been identified, it will then be removed to allow placement of cages containing bone graft material.

- This will then fixed together with screws to stabilise and realign your spine.

- The incision on your back will be closed to finish the procedure.

Your consultant will explain your procedure to you and answer any questions you might have.

Because you'll be having general anaesthetic, they'll let you know how long you should avoid eating and drinking before surgery. You may also be asked to attend a nurse-led pre-assessment clinic.

Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.

Compared with other procedures that treat the same injury, minimally invasive TLIF can dramatically reduce recovery time and the length of your stay in hospital.

The smaller incision your surgeon makes on your back also means you will experience less blood loss. You will likely stay in hospital overnight and be discharged the next day. It is possible to walk immediately in your recovery process, as your spine will be stronger than before.

ull recovery time depends on the individual. If you do feel any discomfort, you may take pain relief medication.

Our TLIF locations

The Lister Hospital

The Lister Hospital

Chelsea Bridge Road, SW1W 8RH London
The Wellington Hospital

The Wellington Hospital

8A Wellington Place NW8 9LE London
London Bridge Hospital

London Bridge Hospital

27 Tooley Street SE1 2PR London
The Harley Street Clinic

The Harley Street Clinic

35 Weymouth Street W1G 8BJ London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London
The Shard Outpatients

The Shard Outpatients

The Shard, 32 St Thomas Street SE1 9BS London
Chiswick Outpatients

Chiswick Outpatients

Bond House 347-353 Chiswick High Road W4 4HS London
Chelsea Outpatients

Chelsea Outpatients

280 King's Road SW3 5AW London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.