Robot-navigated minimally invasive transforaminal lumbar interbody fusion workflow

Abstract

This video demonstrates the robot-navigated minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) technique for spondylolisthesis. Navigation and robotics enhance accuracy in pedicle screw placement, reduce operative time and radiation exposure, and improve patient recovery. The case of a 70-year-old patient with L4-5 spondylolisthesis and spinal stenosis is presented. Key surgical steps include intraoperative imaging, preoperative planning, robot-guided screw placement, targeted decompression, and interbody cage implantation. The workflow optimizes safety and efficiency while minimizing tissue disruption. Postoperative imaging confirms precise implant positioning and spondylolisthesis correction, demonstrating how robotics and navigation contribute to superior surgical precision, reproducibility, and improved clinical outcomes. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2516.