Mild (Minimally Invasive Lumbar Decompression):
The minimally invasive lumbar decompression (MILD) procedure is indicated for patients with lumbar spinal stenosis experiencing pain and reduced mobility related to their lumbar spinal stenosis. It is an outpatient procedure performed through a hole about the size of a baby aspirin. With the assistance of imaging guidance, specialized tools remove small pieces of bone and excess ligament through the small hole. Removing these elements is meant to decompress your spinal stenosis, restore the space in your spinal canal and reduce pain and increase mobility.
The Superion indirect decompression system is indicated to treat adult patients suffering from pain, numbness, and/or cramping in the legs (neurogenic intermittent claudication, secondary to moderate lumbar spinal stenosis. The treatment is indicated for patients with impaired physical function experienced relief with forward bending. Typically patients with spinal stenosis will complain of back pain as well as leg/buttocks/groin pain. The superion device may be implanted at 1 or 2 adjacent lumbar levels from L1-L5. The procedure is accomplished in a surgical setting with fluoroscopic guidance. It involves a 2 cm incision for the implantation which takes approximately 30-60 minutes. The procedure is a same-day procedure and patients go home from the surgery center. Recovery is much faster than most spine surgeries and is typically accomplished within days to weeks.
Minute Man Procedure:
The Minuteman procedure is a minimally invasive, interspinous–interlaminar fusion device intended for the fixation and stabilization of the lumbar spine. It uses bone graft material placed within the device which provides immobilization and stabilization of the spinal segments. It can be used to treat lumbar spinal stenosis, degenerative disc disease, spondylolisthesis, trauma, and tumor. It is accomplished via an outpatient procedure that typically takes less than an hour. Patients are able to go home after the procedure. Recovery takes place over the course of a few weeks.