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MIS TLIF - Minimally invasive Fusion this patient from Delhi present to us with severe Back pain for last 1 year. For last 1 month she has developed Sciatica like pain going into her both legs and walking and standing was significantly reduced. Her MRI showed L45 and L5S1 DDD with L45 listhesis. She underwent 2 level MIS TLIF with significant releif in pain.