A system, device and method for performing a transiliac approach for L5-S1 interbody fusion is disclosed. The surgeon may determine the access location using a neuromonitoring probe and fluoroscopy. Once the location is determined, the surgeon may use a cannulated needle or Jamshidi to create an initial pathway through the ilium. In an embodiment of the present invention, the surgeon may then advance a needle or Jamshidi through the ilium, just medial to the ilium wall. A guide pin may then be advanced through the cannulated needle or Jamshidi until the distal tip of the Jamshidi is reached. The Jamshidi may then be removed.
