With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.

Reviewer

Dr. Manoj Miglani

Orthopedic Surgeon

22 Years of Experience

Last Reviewed - June 2026

Known for his soft-spoken nature, Dr. Manon Miglani had completed his MBBS from Maulana Azad Medical College and MS (Ortho) for All India Institute of Medical Sciences. Dr. Miglani was awarded AO spine fellowship from Queen’s Medical Center, Nottingham and he also received Stryker fellowship in Arthroplasty from Indraprastha Apollo Hospital. Dr. Manon Miglani has provided his expert services to various hospitals of Delhi and NCR including AIIMS, Indraprastha Apollo, Jaipur Golden hospital, and Artemis hospital Presently, Dr. Manon is the additional director of Fortis, Vasant Kunj and senior consultant at Fortis, Shalimar Bagh.

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TLIF stands for “Transforaminal Lumbar Interbody Fusion”, and is a surgical procedure aimed at achieving spinal stabilization by creating a solid bone connection and reducing motion in a specific segment of the spine. This type of lumbar fusion surgery is typically advised to address persistent and debilitating pain resulting from conditions like spondylolisthesis, degenerative disc disease, or recurrent disc herniations.

TLIF involves the fusion of both the anterior (front) and posterior (back) columns of the spine via a single posterior approach. This article outlines the TLIF technique and provides a comparison between TLIF and alternative spinal fusion approaches. Lumbar spine fusion might be suggested for individuals experiencing debilitating low back and/or leg symptoms who have not responded to non-surgical treatment options.

The following conditions are being treated by the TLIF surgery:

People experiencing low back pain and leg pain associated with sciatica or other lumbar radiculopathy can benefit from a TLIF.
Other conditions that can be treated are spondylosis, spinal stenosis, degenerative disc disease, recurrent disc herniation, scoliosis, spinal instability (spondylolisthesis), and pseudarthrosis.

TLIF is used to correct spinal disorders like degenerative disc disease, spondylolisthesis, spinal instability, or a herniated disc. The aim is to stabilise the spine, decrease back and leg pain, restore disc height, and enhance function and quality of life.

Consult a doctor if you have persistent lower back pain, radiating leg pain (sciatica), leg numbness or weakness, or if symptoms do not respond to conservative therapy (medications, physical therapy). Imaging might show spine instability or disc injury, suggesting the possibility of surgical assessment.

Preparation involves physical examination, imaging (MRI, CT, X-rays), and laboratory tests. The patient should report all medications to the doctor, and blood thinners may need to be discontinued. Fasting overnight is typically necessary before surgery.

Incision & Access: A minimal incision in the lower back provides access to the spine.
Disc Removal: The problematic disc is excised to release nerve pressure.
Nerve Decompression: Spinal nerves compressed by bone or tissue are cleared.
Bone Graft & Cage Placement: A cage or bone graft is placed to support the vertebrae's fusion.
Stabilisation: Rods and screws are implanted to stabilise the spine as it heals.
Closure: The incision is bandaged and closed.

Typically, the procedure lasts between two and four hours. Depending on recuperation and whether the treatment was open or minimally invasive, hospital stays range from one to four days.

An infection
Damage to the nerves
Dural tear (leak in spinal fluid)
clots of blood
Persistent pain

TLIF can alleviate leg and chronic back pain, stabilise the spine, and restore movement and function. Most patients recover to a normal lifestyle with enhanced quality of life.

Hospital observation, pain management, and limited mobility are all included in the initial rehabilitation. Patients can have physical therapy and use braces. It takes 4\u20136 weeks to return to light activities, but it may take 3\u20136 months to recover completely.

TLIF has a high rate of success; 70\u201390% of patients experience alleviation of severe pain and a gain in function. Proper selection of the patient, surgical, and post-op care enhance chances for success.

85–95%

Success rate for pain relief and spinal stability

3–5 days

Typical hospital stay

3–6 months

Return to normal daily activities depending on recovery and rehabilitation

Explore Hospitals ( 1 )

Meliva Kardiolita Hospital, Kaunas

Kaunas, Lithuania

8+ Beds · 234+ Procedures

JCI

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Process Involved for TLIF in Kaunas

Consultation with a specialist: A spine surgeon evaluates the patient’s medical history, symptoms, and imaging (MRI, CT, X-rays) to assess the severity of the spinal issue.
Preoperative Testing and Imaging: MRI and CT scans determine the extent of the problem and the exact location of the nerve compression or instability.
Personalised Treatment Plan: The surgeon discusses treatment options, including surgical approach, implant types, anesthesia options, and expected recovery.
Surgical Procedure: The TLIF procedure is performed. The surgeon removes the damaged disc, inserts a bone graft or interbody cage, and uses screws and rods for stabilisation.
Postoperative Care: Recovery includes pain management, physical therapy, and regular follow-up appointments to monitor healing and spinal function.

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Degenerative Disc Disease
Spondylolisthesis (slippage of the vertebrae)
Herniated Discs
Spinal Instability
Spinal Stenosis
Chronic Lower Back Pain
Failed Back Surgery Syndrome

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Individuals suffer from chronic lower back pain, often caused by degenerative disc disease, herniated discs, spinal instability, or spondylolisthesis.
Patients suffering from nerve compression (e.g., sciatica, radiculopathy) who have not responded to conservative treatments such as physical therapy, medicines, or injections.
Candidates who have failed a previous back surgery (Failed Back Surgery Syndrome).
Individuals with good general health, no active infections, severe osteoporosis, or substantial spinal abnormalities.

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Spinal Cage Implants
Bone Grafts
Screws, rods, and plates used to stabilise the spine and allow fusion to occur
Interbody Cages: Devices placed between vertebrae to support the spine during healing

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Laminectomy (removal of part of the vertebra to relieve nerve pressure)
Spinal Decompression
Bone Grafting
Pain Management Injections
Physical Therapy

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Relieves chronic back pain and nerve compression.
Stabilises the spine, increasing movement and functionality.
Addresses the fundamental causes of spinal instability and degenerative disorders.
It requires less recovery time than standard fusion methods and has fewer problems.
Restores appropriate spinal alignment, lowering the risk of future deterioration.

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Orthopedic Surgeon
Neurosurgeon
Physiotherapist

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Patient Stories

Emily

Emily’s Journey to a Pain-Free Life: Advanced TLIF Spine Surgery in India

Emily's story is a powerful reminder that with the right guidance, expert medical care, and personalised rehabilitation, even long-standing pain…

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Frequently Asked Questions

The TLIF package cost in Kaunas varies from one hospital to another and may offer different benefits. The TLIF package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The TLIF cost in Kaunas includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Stay outside the package duration, port-operative complications and diagnosis of a new condition may further increase the TLIF cost in Kaunas.

There are many hospitals that perform TLIF in Kaunas. Some of the most renowned hospitals for TLIF in Kaunas include the following:

Kardiolita Hospital, Kaunas

Upon discharge from the hospital after TLIF in Kaunas, the patients are advised to stay for about 18 days for recovery. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.

Kaunas is undoubtedly one of the best cities for TLIF in the world. It offers the best medical expertise and good patient experience at an affordable cost. there are a select few destinations that provide comparable quality of healthcare for the procedure. Some of such cities are:

Vilnius

Apart from the TLIF cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The per day cost in this case may range from 50 USD.

The patient has to spend about 3 Days in the hospital after TLIF for proper recovery and to get clearance for discharge. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

There are about 1 Hospitals TLIF hospitals in Kaunas that are best known for their services. These hospitals have proper infrastructure for the treatment of patients who require TLIF. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Kaunas

Kaunas is the second largest city in Lithuania. Kaunas is becoming increasingly popular as a location for medical treatment and medical tourism. Patients from all around the world visit the city for its excellent healthcare infrastructure and treatment in areas like odontology, plastic surgery, SPAs, and rehabilitation. The city offers a high level of doctor qualification, as well as modern equipment and service quality that matches the highest requirements. The entire health system of the city falls under the Ministry of Health of the Republic of Lithuania. Municipal governments are in charge of primary and secondary healthcare. Tertiary care is largely provided in university hospitals and is governed by the government. A patient usually joins the healthcare system through a general practitioner. A patient can also enter the system directly through a specialized doctor. For EU citizens, the Kaunas healthcare system offers advantages like reimbursement of healthcare costs, prescription, and delivery of medication and medical devices. The city has modern medical technologies and a pool of highly trained doctors.

The hospitals in Kaunas city of Lithuania offer excellent care. They have state health accreditations and international healthcare accreditation like JCI. Some of the top hospitals in Kaunas include:

Kardiolita Hospital: It is a multispeciality hospital offering treatment in areas including orthopedics, ophthalmology, cardiovascular diseases, dental problems, hair transplantation, dermatology, plastic surgery, gynecology treatment, gastrointestinal treatment and abdominal surgery, and neurological conditions.
Fi Clinica: It is one of the largest plastic surgery centers in the area. Various cosmetic surgery procedures are available here including Breast and face plastic surgery, tummy tucks, liposuction, and mommy makeover procedures. The clinic offers a 3D-planning method.
Mazylio Gimdymo Namai: The hospital provides extensive care and services for pregnancy, rehabilitation, child care, neonatal care, etc.

Doctors working in the hospitals and clinics of Kaunas are highly qualified and have years of experience in their practice area. Some of the top doctors in Kaunas include:

Dr. Raminta Cesnaitiene: Dr. Cesnaitiene is a plastic and reconstructive surgeon. She has years of expertise in delivering cosmetic surgery and the enhancement of body appearance.
Dr. Giedrius Gylys: He is a well-known Otorhinolaryngologist in Kaunas with an experience of over 18 years in ENT. His specialties include chronic otitis surgery, hearing restoration, cochlear implantations, auditory ossicle reconstruction, tumor removal surgeries at the base of the skull, and plastic reconstructive nasal corrections.
Dr. Vytautas Kimtys: He is an expert in Orthopaedics, Orthopaedic Surgery with over 20 years of experience. Dr. Kimtys has performed ankle joint arthroscopies, ankle instability surgeries, corrective feet deformity surgeries, knee joint surgeries, meniscus tear repair or removal surgeries, and anterior cruciate ligament reconstruction surgeries.

Kaunas is an easily reachable city by bus, train, taxi, or flight routes. The nearest airport to Kaunas is Kaunas international airport. If you are planning to undergo treatment here, MediGence can assist you in planning your medical travel.

FAQ's Related to Lithuania

The hospitals in Kaunas city of Lithuania offer excellent care. They have state health accreditations and international healthcare accreditation like JCI. Some of the top hospitals in Kaunas include:

Kardiolita Hospital: It is a multispeciality hospital offering treatment in areas including orthopedics, ophthalmology, cardiovascular diseases, dental problems, hair transplantation, dermatology, plastic surgery, gynecology treatment, gastrointestinal treatment and abdominal surgery, and neurological conditions.
Fi Clinica: It is one of the largest plastic surgery centers in the area. Various cosmetic surgery procedures are available here including Breast and face plastic surgery, tummy tucks, liposuction, and mommy makeover procedures. The clinic offers a 3D-planning method.
Mazylio Gimdymo Namai: The hospital provides extensive care and services for pregnancy, rehabilitation, child care, neonatal care, etc.

Doctors working in the hospitals and clinics of Kaunas are highly qualified and have years of experience in their practice area. Some of the top doctors in Kaunas include:

Dr. Raminta Cesnaitiene: Dr. Cesnaitiene is a plastic and reconstructive surgeon. She has years of expertise in delivering cosmetic surgery and the enhancement of body appearance.
Dr. Giedrius Gylys: He is a well-known Otorhinolaryngologist in Kaunas with an experience of over 18 years in ENT. His specialties include chronic otitis surgery, hearing restoration, cochlear implantations, auditory ossicle reconstruction, tumor removal surgeries at the base of the skull, and plastic reconstructive nasal corrections.
Dr. Vytautas Kimtys: He is an expert in Orthopaedics, Orthopaedic Surgery with over 20 years of experience. Dr. Kimtys has performed ankle joint arthroscopies, ankle instability surgeries, corrective feet deformity surgeries, knee joint surgeries, meniscus tear repair or removal surgeries, and anterior cruciate ligament reconstruction surgeries.

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Cost of TLIF in Major Cities of Lithuania

Cost of TLIF in Major Cities of Lithuania