10/08/2025
**Taking care of high-BMI patients is one of the holy grails of spine surgery.**
For years, our knee-jerk reaction has been to tell these patients to “lose weight first.” Unfortunately, 9 out of 10 times, immobility worsens their deconditioning, leading to cardiovascular issues far more costly than addressing the spine problem itself.
With **Trans-Kambin OLLIF**, we have reduced surgical risk to the point that we can now safely offer minimally invasive solutions even to this complex population. When performed **algorithmically and precisely**, these procedures can be both safe and efficient—this patient’s surgery lasted **48 minutes**, and they were **discharged in less than 24 hours**.
🎥 Watch the case here: [https://youtube.com/shorts/Eb1hP6-8Sn4?feature=share](https://youtube.com/shorts/Eb1hP6-8Sn4?feature=share)
https://youtube.com/shorts/Eb1hP6-8Sn4?feature=share
Intraoperative view of patient with very high BMI where the screws are actually vanished under the skin, but MIS is still a good possibility with proper tech...