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Minimally invasive Fusion/ MIS TLIF A 58 year old female presented to us with Back pain with radaition into right leg. Pain restricted her activities. Her MRI showed L34 and L45 listhesis with stenosis. She underwent minimally invasive L34 and L 45 TLIF with 2 inch long incision. The advantage of MIS is small incision, faster recovery and early rehabilitation.