At the Spine Institute, we offer our patients flexibility and comfort to be seen virtually and find state of the art procedures that work for them.

TLIF: Transforaminal Lumbar Interbody Fusion

The TLIF (Transforaminal Lumbar Interbody Fusion) is a minimally invasive spinal fusion surgical approach where the surgeon removes a damaged disc and fuses 2 or more vertebral bones together in your lumber spine (low back) to treat spinal conditions and reduce long-term back or leg pain that has not responded to other conservative treatments such as steroid injections, physical therapy, chiropractic care, pain medications and more. 

This surgical procedure is approached from the back (posterior) outside of the facet joint rather than from the front (anterior) or from the side (lateral). Pedical screws and rods are attached to the back of the vertebra and an interbody fusion spacer is inserted into the disc space from one side of the spine. Bone graft is placed into the interbody space and along the back of the vertebra to be fused. During the fusing process, the vertebra is fused above and below and forms one long bone. 

The TLIF approach may be recommended for patients with conditions such as recurrent lumbar disc herniations, lumbar stenosis, spondylolisthesis, lumbar degenerative disc disease and more. 

Minimally Invasive Spine Surgery (MISS) is a collection of surgical techniques that allow any given spinal condition to be corrected using small incisions to stabilize the spine and relieve pressure. Thanks to recent advances in surgical technique and equipment, many spinal disorders can now be corrected with minimally invasive spinal surgery. These procedures are a great alternative to traditional open spine surgery because they offer many benefits.

Are you a candidate for Minimally Invasive Spine Surgery?

Many patients come to the Spine Institute seeking Dr. Marc Cohen’s expertise in minimally invasive spine surgery. Dr. Cohen is highly trained and skilled to perform all of his procedures with a minimally invasive or less invasive approach making him one of the top spine surgeons in New Jersey and the surrounding areas. 

These procedures will not always be deemed appropriate for every patient. Some deciding factors considered in this decision-making process are a patient’s diagnosed spinal conditions, age, exhausted conservative treatments, and more. During an evaluation, Dr. Cohen provides each patient with personalized care and can determine whether you are a candidate for minimally invasive spine surgery or if a traditional, open spine approach will be more effective. 

If surgery is not deemed to be necessary at the time of your consultation, Dr. Cohen will work with you to offer other conservative options that may be effective in relieving your pain. We will strive to deliver the permanent pain relief you need.

Schedule your consultation today

If you have exhausted all conservative measures with no improvement in pain, we recommend that you consider looking into minimally invasive spine surgery as an option for your next consultation with our experienced double board certified spine surgeon.

A Message from Dr. Cohen

“Spine surgery remains one of the most intriguing, complex and challenging fields. I have been performing this type of surgery for more than 30 years, focusing on conventional spine procedures and minimally invasive surgery. Besides the technical challenges of surgery, the clinical challenges of making the right diagnosis are very appealing to me. I carefully evaluate the problem, determine the pathology and access the complexity of the condition. The decision to consider spine surgery should always come after trying non-surgical or conservative options. However, when the pain is persistent and clearly related to an anatomical problem, then surgery is a reasonable option.

At my practice you will be matched with a patient advocate who will act as a medical concierge, guiding you through paperwork, preliminary testing and any healthcare requirements that are needed at each step of the surgical process. My level of specialty training at the Hospital for Special Surgery/Weill Cornell Medical Center and Memorial Sloan-Kettering Cancer Center as well as my focus on the spine has contributed to my enhancement and surgical technique, which in turn, has led to an overall improved success rate in patient outcomes.

The right treatment plan begins with the right diagnosis. My patients can rely on precise clinical evaluation combined with state-of-the-art surgery. This provides patients with the peace of mind that they are receiving the best possible care and therefore better outcomes.”

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