Minimally invasive spine surgery-
Endoscopic Transforaminal Lumbar Interbody Fusion (Endo-TLIF) for L4–L5 Spondylolisthesis A 55-year-old female patient presented with a history of chronic low back pain associated with radiating pain to the lower limb for nearly two years. Over the preceding 24 hours, her symptoms had acutely worsened, resulting in significant difficulty in walking, standing, and performing routine daily activities. The pain was persistent, progressive, and had a considerable negative impact on her quality of life. Despite prolonged conservative management, including medications, physiotherapy, and activity modification, she failed to achieve sustained symptomatic relief.Minimally invasive spine surgery. Diagnosis and Surgical Management (Endoscopic TLIF) A comprehensive clinical and neurological evaluation was performed. Magnetic Resonance Imaging (MRI) of the lumbosacral spine revealed L4–L5 spondylolisthesis accompanied by intervertebral disc degeneration and neural compression, findings that correlated well with her clinical presentation. Based on the clinical history, physical examination, and radiological evidence, a definitive diagnosis of L4–L5 Spondylolisthesis was established. Considering the failure of conservative treatment and the progressive nature of her symptoms, surgical intervention was advised. The patient underwent minimally invasive endoscopic spinal fusion (Endoscopic Transforaminal Lumbar Interbody Fusion – Endoscopic TLIF) at Max Super Speciality Hospital, performed by Dr. Pramod Saini. Patient Presentation and Clinical Evaluation The procedure was carried out using an advanced endoscopic technique, allowing precise decompression of neural elements and stabilization of the affected spinal segment while preserving surrounding musculature. The surgical approach required only a small skin incision of approximately 1–2 cm, resulting in minimal muscle disruption, reduced blood loss, and decreased postoperative pain compared to conventional open surgery.Minimally invasive spine surgery. Postoperatively, the patient demonstrated a remarkable improvement in both pain levels and functional capacity. She experienced early mobilization and a faster recovery, enabling her to resume daily activities with significantly reduced discomfort. The overall surgical outcome was highly satisfactory, highlighting the effectiveness and advantages of Endoscopic TLIF as a minimally invasive treatment option for L4–L5 spondylolisthesis.
