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Everything You Need to Know about Vertiflex

In a previous article, we presented a brief overview of lumbar spinal stenosis and the Veriflex procedure. This post will provide a more detailed examination of the symptoms associated with lumbar spinal stenosis, delve deeper into the diagnosis process, explore treatment options like Veriflex, and discuss the pros and cons of the Veriflex procedure.

What is Lumbar Spinal Stenosis?

Within the spinal cord, a cluster of nerves runs through the spinal canal. Lumbar spinal stenosis occurs when there is a narrowing of the spinal canal, usually in the lower part of the back. This narrowing can cause pressure on the spinal cord or the nerves that travel from the spinal cord to the muscles. Although lumbar spinal stenosis most commonly occurs within the lower back, or the lumbar area, it can happen in any part of the spine. 

Symptoms of Lumbar Spinal Stenosis

Symptoms may not be noticeable in the beginning stages of lumbar spinal stenosis, but slowly over time, symptoms will develop. The most common symptoms include:

  • Back pain
  • Sciatica
  • Numbness, tingling or cramping in the legs
  • Loss of sensation in the feet

Intense back pain may make it difficult for patients to walk, or walk upright; patients may walk forward to help relieve the pressure on their lower back. 

Osteoarthritis is a common cause of lumbar spinal stenosis, but other conditions may cause LSS:

  • Being born with a narrow spinal canal
  • Any injury to the spine
  • Being diagnosed with certain bone diseases
  • Past surgery on the spine
  • Rheumatoid arthritis
  • Herniated disk 

Diagnosing Lumbar Spinal Stenosis

Your healthcare provider will ask questions about your symptoms and complete a physical exam. During the exam, they will look for any signs of LSS, including loss of sensation, weaknesses, or abnormal reflexes. They may perform tests to help make a diagnosis including:

  • An X-ray of the lumbar spine – the x-ray may show any abnormal bone growths, called spurs 
  • Imaging tests – CT scans or MRIs offer an in-depth look at the spinal canal and nerve structures
  • Other studies like a bone scan, pyelogram, nerve condition studies, and electromyography may be performed 

Treatments for Lumbar Spinal Stenosis

There are several ways to treat the symptoms associated with lumbar spinal stenosis. Some patients may find help from a physical therapist, who will help them learn to perform daily activities safely. They may also encourage patients to use a back brace, become familiar with stretching techniques to relieve pain, and undergo frequent massage therapy. 

Some patients may find that acupuncture and chiropractic care are also helpful in relieving pressure. 

Treating Lumbar Spinal Stenosis with Vertiflex 

If physical therapy, anti-inflammatory drugs, and other treatments do not deliver relief to patients, we recommend the minimally invasive procedure, Vertiflex. 

What is the Vertiflex procedure?

Vertiflex is an FDA-approved, minimally invasive procedure that has been clinically proven to provide long-term relief from pain caused by lumbar spinal stenosis.

The procedure begins with a local anesthetic and a tiny incision near the area of the lumbar spinal stenosis. Without having to remove any bone or tissue, a surgeon implants a small, titanium alloy device called the Superion Interspinous Spacer between two adjacent vertebrae in the lumbar spine. Once inserted, the spacer’s arms open, helping to decompress the spinal canal by creating space between the vertebrae.

The surgery usually lasts around 20-30 minutes, but the surgery may last longer if a patient requires more than one or two Vertiflex implants. Patients are usually able to go home just a few hours after the surgery is completed.

Patients are generally fully recovered after six weeks, but most patients feel relief almost immediately after the procedure. 

Vertiflex Pros and Cons 

There are always upsides and downsides to any surgery or procedure. Your medical professional will help you decide if the Vertiflex procedure is right for you. 

Pros of a Vertiflex procedure:

  • Vertiflex is a minimally invasive procedure requiring a small incision and usually takes only 20-30 minutes to complete
  • Outpatient procedure – patients can go home on the same day as the procedure and resume normal activities shortly after
  • Pain reduction – many patients experience significant relief from their LSS symptoms
  • Preserved spinal anatomy – unlike other surgical treatments, Vertiflex preserves the natural anatomy of your spine  

Cons of a Vertiflex procedure:

  • Limited effectiveness – while many patients experience significant improvements in the symptoms, others may not achieve complete pain relief.
  • Potential complications – like any surgery, the Vertiflex procedure carries potential risks and complications, including infection, bleeding, and nerve damage.
  • Suitability – not everyone is a good candidate for the Vertiflex implantation. For example, scoliosis could be a contraindication.

Are You a Good Candidate for Vertiflex?

If none of your current treatment methods are relieving pain associated with LSS, Vertiflex may be ideal for you. The Pain Institute of Middle Tennessee has a certified surgical team that has performed many Vertiflex procedures. We recommend scheduling a consultation to speak with our specialist about Vertiflex.