Fig. 2

A case in the TLIF51 group: marked sagittal deformity in a 65-year-old woman with adult spinal deformity. The patient underwent direct lateral lumbar interbody fusion at T12–L1, oblique lateral interbody fusion at L1–L5, and transforaminal lumbar interbody fusion at L5–S1 (black arrow). Posterior fixation was performed with percutaneous screws and rods system without corrective osteotomy. A lordotic curve was noted at the thoracolumbar junction area (white arrows)