I don’t perform TLIF fusions unless they’re truly necessary — but when the anatomy demands it, this technique can be incredibly effective. A Transforaminal Lumbar Interbody Fusion (TLIF) helps decompress pinched nerves and stabilize unstable segments, especially in cases like spondylolisthesis or severe degenerative collapse. In this short video, I break down: • why a TLIF may be chosen • what actually happens during the procedure • how it helps patients get long-term relief • my approach to kee