VertiFlex/Xstop/Mild?

Timeoutofmind

Full Member
7+ Year Member
Apr 6, 2013
810
377
216
Anyone recommend any of these treatments as reasonable/effective at this current point in time?

Saw a healthy, active, pleasant 60 year old with severe single level lumbar stenosis with a lot of ligamantum flavum hypertrophy today...had been offered decompression/fusion...not doing well with conservative tx. Got me thinking...
 

Timeoutofmind

Full Member
7+ Year Member
Apr 6, 2013
810
377
216
Unless he's got a significant and/or mobile spondy I'd rec, if it was my family, to get another opinion for a simple decompression without fusion. IMO a Young and healthy patient should get this problem truly fixed, not a gizmo.


Sent from my iPhone using SDN mobile app

Sorry forgot to clarify...grade 1 listhesis. Stable in flex/ex

I guess it makes some since they would want to fuse her given the listhesis? Although with a grade one seems that a decompression should still be adequate without a fusion?
 
About the Ads

SSdoc33

Full Member
10+ Year Member
Apr 23, 2007
9,232
3,309
276
  1. Attending Physician
the younger spine surgeons usually can decompress without fusion for a stable grade 1 degenerative spondy. the "classic" teaching is that you need to fuse these, so the older surgeons (or more greedy ones) fuse as well. if they have a concomitant spondylolysis, then a fusion is necessary
 
  • Like
Reactions: 1 user

Timeoutofmind

Full Member
7+ Year Member
Apr 6, 2013
810
377
216
the younger spine surgeons usually can decompress without fusion for a stable grade 1 degenerative spondy. the "classic" teaching is that you need to fuse these, so the older surgeons (or more greedy ones) fuse as well. if they have a concomitant spondylolysis, then a fusion is necessary
Prob depends how much facet arthropathy is contributing to the stenosis, and how much of the facets they have to take to clear out the canal. If they take enough, prob have to fuse for stability purposes
 

bedrock

Member
15+ Year Member
Oct 23, 2005
4,873
1,889
326
  1. Attending Physician
Prob depends how much facet arthropathy is contributing to the stenosis, and how much of the facets they have to take to clear out the canal. If they take enough, prob have to fuse for stability purposes

True, but ssdoc makes a good point. If this was my mother, I'd ensure she had 2 and 3rd opinions with two other younger spine surgeons.
 
About the Ads
This thread is more than 4 years old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.