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Spine Fixation (TLIF, OLIF)

Spine Fixation Specialist in Ahmedabad

What are Spine Fixation and fusion procedures for example TLIF/OLIF?

Spine fixation and fusion procedures are surgical techniques used to stabilize the spine and promote the fusion of adjacent vertebrae. These procedures are often performed to treat conditions such as spinal instability, degenerative disc disease, spondylolisthesis, or spinal fractures. Two common types of spine fixation and fusion procedures are TLIF (Transforaminal Lumbar Interbody Fusion) and OLIF (Oblique Lumbar Interbody Fusion). Here’s a brief overview of each:

Spine Fixation

Transforaminal Lumbar Interbody Fusion (TLIF)

  • TLIF is a surgical technique used to treat conditions affecting the lumbar (lower) spine.
  • During TLIF, the surgeon accesses the spine through an incision in the lower back.
  • The surgeon removes the disc between two adjacent vertebrae and inserts a bone graft or bone substitute into the disc space.
  • Additionally, screws and rods may be used to stabilize the spine and promote fusion.
  • TLIF allows for indirect decompression of the spinal nerves by restoring the height of the disc space and reducing pressure on the nerves.
  • This procedure can help relieve symptoms such as leg pain, numbness, or weakness caused by nerve compression.

Oblique Lumbar Interbody Fusion (OLIF)

  • OLIF is a minimally invasive surgical technique used to access the lumbar spine from an oblique (diagonal) angle.
  • During OLIF, the surgeon makes a small incision in the patient’s side, typically near the flank area.
  • Specialized instruments and techniques are used to access the spine and remove the damaged disc material.
  • Similar to TLIF, a bone graft or bone substitute is then inserted into the disc space to promote fusion.
  • OLIF may also involve the placement of screws and rods to stabilize the spine.
  •  The oblique approach used in OLIF allows for less disruption to surrounding tissues compared to traditional open surgery, resulting in reduced post-operative pain and faster recovery.

Both TLIF and OLIF are effective techniques for stabilizing the spine and promoting fusion, but the choice of procedure depends on factors such as the specific condition being treated, the patient’s anatomy, and the surgeon’s expertise. These procedures can help alleviate symptoms, improve spinal stability, and restore function for individuals with certain spinal conditions.

What is Minimally invasive spine fusion (MIS TLIF/MIS OLIF)?

Minimally Invasive Spine Fusion (MIS TLIF/MIS OLIF) are advanced surgical techniques aimed at achieving spinal fusion with minimal disruption to surrounding tissues compared to traditional open surgery. Here’s a brief overview of each:

Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF)

  • MIS TLIF is a minimally invasive procedure used to fuse vertebrae in the lumbar (lower) spine.
  • Instead of a large incision, MIS TLIF involves making small incisions in the patient’s back.
  • Specialized instruments and techniques are used to access the spine and remove the damaged disc material.
  •  A bone graft or bone substitute is then inserted into the disc space to promote fusion.
  •  Screws and rods may be placed to stabilize the spine and facilitate fusion.
  •  MIS TLIF offers advantages such as reduced blood loss, shorter hospital stays, and faster recovery compared to traditional open surgery.

Minimally Invasive Oblique Lumbar Interbody Fusion (MIS OLIF)

  • MIS OLIF is a minimally invasive approach to fusing vertebrae in the lumbar spine using an oblique (diagonal) angle of access.
  • Instead of accessing the spine through the back, MIS OLIF involves making small incisions in the patient’s side, typically near the flank area.
  •  Specialized instruments and techniques are used to access the spine and remove the damaged disc material.
  •  A bone graft or bone substitute is then inserted into the disc space to promote fusion, and screws and rods may be placed for stabilization.
  •  MIS OLIF offers benefits such as reduced post-operative pain, faster recovery, and less disruption to surrounding tissues compared to traditional open surgery.

Overall, MIS TLIF and MIS OLIF are advanced surgical techniques that aim to achieve spinal fusion while minimizing trauma to the patient. These procedures can help alleviate symptoms, improve spinal stability, and restore function for individuals with certain spinal conditions.

Our Spine Fixation Specialist

Dr. Nisarg Parikh

Dr. Nisarg Parikh

M.B.B.S. & MS in Orthopaedics ( Spine Surgeon and pain specialist )


Dr. Nisarg Parikh completed his M.B.B.S. and MS in Orthopedics from prestigious Smt. N.H.L. Medical college, V.S. Hospital. After working as an assistant professor in department of orthopedics in same institute he started his career in field of Spine Surgery. He completed rigorous spine training from ace spine institutes from India, Italy and Germany. He was awarded AO Spine Fellowship as well.

2019 March marked the beginning of Swasti Spine and Mind Care, his long-cherished dream of holistic Spine Centre.

Till date he has performed more than 5000 successful spine surgeries. He has presented and published several research papers in national and international conferences and won medals for many presentations. He has co-authored chapters in spine textbook and has been invited as faculty in many spine conferences across India.

Currently he holds position of Director and Consultant Spine Surgeon at Swasti Spine and Mind Care, Ahmedabad. At Sheth. L.G. Hospital and Dr. Jivaraj Mehta Hospital he is serving as an honorary spine surgeon.

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