{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:58:05Z","timestamp":1786125485526,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:00:00Z","timestamp":1589932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Advances in operative techniques and minimally invasive technologies have evolved to maximize patient outcomes and radiographic results, while reducing morbidity and recovery time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>\n                      To describe the operative technique for a\n                      <jats:italic toggle=\"yes\">transfacet<\/jats:italic>\n                      minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) as a proposed modification to the standard approach MIS-TLIF.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\n                      We present the case of a 72-yr-old man with left-sided lumbar radiculopathy. Preoperative imaging demonstrated degenerative lumbar anterolisthesis at L4-5, with associated canal and neuroforaminal stenosis. The patient underwent\n                      <jats:italic toggle=\"yes\">transfacet<\/jats:italic>\n                      MIS-TLIF at L4-L5. We describe the preoperative planning, patient positioning, incision and dissection, pedicle screw insertion,\n                      <jats:italic toggle=\"yes\">transfacet<\/jats:italic>\n                      approach to the working access corridor, discectomy, interbody device placement, fixation, and closure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:italic toggle=\"yes\">transfacet<\/jats:italic>\n                      MIS-TLIF utilizes 3 key techniques to safely maximize surgical correction: (1) a limited bony resection based on the superior articular process, leaving the medial inferior articular process, lateral superior articular process, and rostral pars intact, providing a working bony corridor that protects the traversing and exiting nerve roots; (2) decortication and release of the contralateral facet joint to provide additional capacity for indirect decompression and provide the first point of osseous fusion; and (3) placement of an expandable interbody device that provides additional indirect decompression to the working side and contralateral foramen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:italic toggle=\"yes\">transfacet<\/jats:italic>\n                      MIS-TLIF uniquely leverages a bony working corridor to access the disc space for discectomy and interbody placement.\n                      <jats:italic toggle=\"yes\">Transfacet<\/jats:italic>\n                      MIS-TLIF is a feasible solution for lumbar spinal reconstruction to maximize direct and indirect decompression of the neuroforamina and central spinal canal in patients with lumbar degenerative diseases and low-grade spondylolisthesis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opaa100","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T15:08:38Z","timestamp":1589987318000},"page":"E473-E479","source":"Crossref","is-referenced-by-count":9,"title":["Transfacet Minimally Invasive Transforaminal Lumbar Interbody Fusion With an Expandable Interbody Device\u2014Part I: 2-Dimensional Operative Video and Technical Report"],"prefix":"10.1227","volume":"19","author":[{"given":"Jawad M","family":"Khalifeh","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher F","family":"Dibble","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Washington University School of Medicine, St. Louis, 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