Vertos Medical Clinical Publication

Percutaneous Image-guided Lumbar Decompression and Outpatient Laminectomy for the Treatment of Lumbar Spinal Stenosis: A 2-Year Medicare Claims Benchmark Study

Source— Interventional Pain Medicine Author— Peter S. Staats, MD; Michael J. Dorsi, MD; David E. Reece, DO; Natalie H. Strand, MD; Lawrence Poree, MD, MPH, PhD; Jonathan M. Hagedorn, MD. Published April 22, 2024

This prospective longitudinal study compares outcomes for Medicare beneficiaries receiving outpatient percutaneous image-guided lumbar decompression (PILD) using the mild® Procedure to patients undergoing outpatient laminectomy. All patients were diagnosed with lumbar spinal stenosis (LSS) with neurogenic claudication (NC).

The study included 2,197 mild® patients and 7,416 laminectomy patients. Several factors evaluated were age, gender, baseline comorbidities, subsequent surgical procedure rates, and rates of harms. Baseline data were extracted individually to allow for longitudinal analysis through a two-year follow-up.

Overall, the rate of harms and subsequent surgical procedures was similar between groups, suggesting that mild® should be considered as a treatment option, particularly for older patients with multiple comorbidities. At two-years, mild® patients experienced fewer harms and underwent more subsequent surgical procedures than laminectomy patients. The higher rate of subsequent surgical procedures for mild® may be attributable to its position earlier in the LSS treatment algorithm.

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