**7. Conclusion**

The novel MI-TLIF approach and technology reviewed in this chapter afford significant short- and long-term improvements for patients suffering from debilitating low back pain. Long-term benefits include a reduced rate of adjacent segment disease requiring reoperation, high rates of fusion, and low complication rates. Clinically, our patients have been extremely satisfied in the treatment of their chronic back pain disorders. The majority of our patients are completely pain-free and have returned to work full time and are able to resume activities of daily living.
