How Good Is Minute Man?

IPSIS: Formerly the Spine Intervention Society
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drusso

drusso

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I'm hearing VERY nice things about this procedure.

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I heard people are billing it as a spinal fusion, which may account for some of its popularity.

I asked my spine surgeon if he was interested since he is already doing Vertiflex. He was not impressed.
 
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No comment from someone who has actually done it...
 
Agast said:
I heard people are billing it as a spinal fusion, which may account for some of its popularity.

I asked my spine surgeon if he was interested since he is already doing Vertiflex. He was not impressed.
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It reimburses less than Vertiflex. For the right case it looks to be solid.
 
It’s billed as a spinal fusion, around 2k. Vertiflex only pays a few hundred dollars.

Its marketed as a less invasive fusion but why are no surgeons doing it. You’d think they would adopt it if it paid the same and was less invasive.
 
gdub25 said:
It’s billed as a spinal fusion, around 2k. Vertiflex only pays a few hundred dollars.

Its marketed as a less invasive fusion but why are no surgeons doing it. You’d think they would adopt it if it paid the same and was less invasive.
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Why adopt?
 
gdub25 said:
It’s billed as a spinal fusion, around 2k. Vertiflex only pays a few hundred dollars.

Its marketed as a less invasive fusion but why are no surgeons doing it. You’d think they would adopt it if it paid the same and was less invasive.
Click to expand...
Sorry, facility side.
 
drusso said:
I'm hearing VERY nice things about this procedure.

View attachment 333267
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I guess the question is how does it compare with x stop, vertiflex and other intraspinous ligament implants. I personally use MILD first line at the stenotic level. Epidurogram for confirmation of decompression. Good outcomes and minimal post OP pain. Plus I don’t get money to plug Vertos... independent review .
 
10KHertz said:
I guess the question is how does it compare with x stop, vertiflex and other intraspinous ligament implants. I personally use MILD first line at the stenotic level. Epidurogram for confirmation of decompression. Good outcomes and minimal post OP pain. Plus I don’t get money to plug Vertos... independent review .
Click to expand...

Are you doing multiple levels bilateral?
Do you always do an epidurogram?
 
NJPAIN said:
Are you doing multiple levels bilateral?
Do you always do an epidurogram?
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Typically, I select bilateral single level as my experience gets refined. Epidurograms are easy for all of us, plus it really provides visual proof of the posterior element decompression. I’d use the epiduogram , however most are not .
I think two level bilateral is reasonable Vs. say a two level laminectomy/foraminotomy. I don’t believe we destabilize the spine with only posterior decompression. The data is still indeterminate as to when to redecompress, repeat levels above, etc.
 
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Any further thoughts by anyone else who does minute man? What is the training for getting into doing this like?
 
I saw this on LinkedIn today and thought it might be relevant. Seems like the surgeons don't think it's a good long-term solution and may in fact lead to adjacent segment disease down the road from reading this comments

www.linkedin.com

#minimallyinvasivespinesurgery #interventionalpainmanagement #minuteman… | Rutvij Shah, MD MPH | 96 comments

Minimally invasive interspinous fusion is a skillset that can treat someone’s long-standing complaint in an effective manner without too much tissue disruption from an open surgery. The case shows an objective evidence of how the disc degeneation was not only prevented but also reversed with...
www.linkedin.com www.linkedin.com

Edit: just ignore all the fighting but there are some key points about the device itself
 
interjectionreflection said:
I saw this on LinkedIn today and thought it might be relevant. Seems like the surgeons don't think it's a good long-term solution and may in fact lead to adjacent segment disease down the road from reading this comments

www.linkedin.com

#minimallyinvasivespinesurgery #interventionalpainmanagement #minuteman… | Rutvij Shah, MD MPH | 96 comments

Minimally invasive interspinous fusion is a skillset that can treat someone’s long-standing complaint in an effective manner without too much tissue disruption from an open surgery. The case shows an objective evidence of how the disc degeneation was not only prevented but also reversed with...
www.linkedin.com www.linkedin.com

Edit: just ignore all the fighting but there are some key points about the device itself
Click to expand...
Disturbing to fuse someone for a disc herniation, if the commenters are correct about that. Could have had a microdiscectomy instead, probably with a smaller scar.
 
That post just irritated the cr@p out of me. So many issues.

Fusing a stable spine for a disc herniation, saying “put the data aside for a moment,” and likening the minuteman/MIS pain-spine procedures to TAVR.
 
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