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Minimally-Invasive Option for Spinal Stenosis

Approximately 90% of the population will present with low back pain at some point in their lifetime. Spinal stenosis most commonly is caused by degenerative osteoarthritis of the spine or spondylosis and occurs most frequently at the L4 to L5 level, followed by L5 through S1 and L3 to L4. Additional risk factors include obesity or a family history of this condition. Other factors such as disc protrusion or bulging (for example, caused by progressive disc degeneration with aging or trauma), loss of disc height, facet joint disease, osteophyte formation, or ligamentum flavum hypertrophy (or loosening of the ligaments or bands that cover the spinal canal) can all lead to encroachment on and narrowing of the central canal and compression of a spinal nerve as it leaves the spinal canal. Patients with spinal stenosis may experience:

  • Decreased endurance during physical activities
  • Weakness an or loss of balance
  • Symptoms improve when you sit, lean forward, lie on your back or sit with your feet raised.
  • Numbness or tingling feeling in your legs, calves or buttocks
  • Neurogenic Claudication

Treating Spinal Stenosis

This procedure is best for patients who have mild to moderate spinal stenosis. A patient who typically suffers from tired/heaviness in their leg(s) or, experiences relief from leaning forward on a shopping cart or sitting down is an ideal candidate for this procedure. Vertiflex is a small implant, available in different sizes to best match a patient’s spinal anatomy. The implant is made of medical grade-titanium and is biocompatible reducing the risk of inflammation or rejection. The procedure typically takes 30 -40 minutes and the implant is inserted through a small, 2 centimeter incision in the lower back. Although the procedure requires anesthesia, it is an outpatient procedure so patients can return home the same day. The procedure is reversible and will not remove any bones or tissues from your spine.

Five years after the procedure, a patient may expect:

  • 75% relief of leg pain
  • 65% relief of back pain
  • 85% reduction in opioids
  • 90% patient satisfaction


Care Team Approach

We have assembled a team of experts that includes a Pain Medicine Physician, Interventional Pain Management Physician, Physician Assistant or Nurse Practitioner, Physical Therapist, Licensed Clinical Social Worker, Psychiatrist, and Pharmacist to treat your needs. Our team is here to listen and collaborate to develop a treatment plan that is right for you.