Trade-offs in Treating Lumbar Spinal Stenosis

Consider the potential trade-offs of decompression alone and decompression with fusion in the surgical treatment of advanced degenerative lumbar spinal stenosis (LSS). There is no clear consensus on the appropriate treatment of advanced degenerative lumbar spinal stenosis. Although decompression alone and decompression with fusion provide benefits to many patients, many surgeons who treat advanced degenerative lumbar spinal stenosis would agree there are trade-offs with the current treatment options available. They are aware of the possible under-treatment of care by performing a decompression alone, or potential over-treatment of care by performing a decompression with fusion.

Positive Attributes

Decompression Decompression with Fusion
  • Potentially minimally invasive
  • Suggests lower risk
  • Immediate relief of leg pain
  • Lower cost
  • Faster recovery
  • Performed in outpatient or ASC
  • Addresses instability at index level
  • Extensive decompression
  • Relief of leg and lower back pain
  • Mechanical durability
  • Addresses facet-based issues

Potential Drawbacks

Decompression Decompression with Fusion
  • Potentially destabilizes the spine
  • Undefined duration of relief
  • Does not address back pain
  • Does not address degenerative cascade
  • Highly invasive
  • Longer recovery; delay to normal activity
  • Continued use of pain medication
  • Contributes to adjacent level disease
  • High re-operative rate

Wouldn’t surgeons — and their patients — want a solution that is efficacious, offers a quicker recovery, and potentially improves predictable long-term outcomes for that appropriately addresses this degenerative lumbar spinal stenosis patient population?

By adding the coflex® device into your armamentaria for the surgical treatment of advanced degenerative LSS you can potentially offer your patients benefits that may have not been available with existing surgical options.

Learn more about patient expectations.