Ray's surgeon performed a minimally invasive TLIF through a METRx™ tubular retractor, using a one-inch incision (Figure 3).

Figure 3. METRx™ Tubular Retractor

SEXTANT™ screws and rods were used to hold the spine in position and were placed through this same incision and a second one on the opposite side of Ray's back (Figure 4).

Figure 4. SEXTANT™ screws and rods stabilize the spine.

Pictures taken before and immediately after surgery show how well Ray's spine was realigned (Figure 5). There were no complications and Ray was discharged from the hospital 2 days after the procedure and returned to work three weeks later.

Figure 5. Pre- and post-operative images.

At his examination 2 years after his surgery, Ray was doing well and reported no back or leg pain. His small incisions were barely visible (Figure 6).

Figure 6. Small incisions are barely visible.

The Future
The use and effectiveness of minimally invasive TLIF are still being studied. However, the initial results of this innovative procedure look very promising. Stay tuned!