Vertos Medical Clinical Publication

A Retrospective, Single-Center, Quantitative Analysis of Adverse Events in Patients Undergoing Spinal Stenosis with Neurogenic Claudication Using a Novel Percutaneous Direct Lumbar Decompression Strategy

Source— Journal of Pain Research Author— Pope JE, Deer TR, Falowski SM Published June 24, 2021

Low-back pain with accompanying neurogenic claudication is a common diagnosis in pain and spine centers around the world, with an evolving algorithm of treatment. One option for the treatment of neurogenic claudication by decompressive strategies centers on percutaneous direct decompressive techniques. The purpose of this study was to investigate the safety of percutaneous direct decompression performed without the use of the epidurogram.

In the study, the data was retrospectively analyzed from July 2018 to August 2020 on patients that had undergone percutaneous direct decompression using the mild® Procedure in a single center by a single physician. The data was analyzed quantitatively for reported complications within 3 months of the procedure.

This real-world retrospective review suggests that the mild® Procedure maintains its safety profile with the no-contrast approach, and should thus continue to be positioned early in the treatment algorithm for patients with neurogenic claudication and ligamentum flavum hypertrophy ≥2.5mm after failure of conservative measures.

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