Lumbar Stabilization

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  • Lumbar Stabilization

    Spinal Surgery

    Spinal Support and Motion Preservation

     


    The Coflex device is a nonrigid fixation, therefore it provides better and more natural lumbar function when compared to fusion. Other benefits of Lumbar Stabilization compared fusion include:

    Lumbar Stabilization vs. Fusion

     Lumbar StabilizationFusion

    Quality Adjusted Life Years

    Higher1

    Lower1

    Overall Composite Clinical Success (CCS) Scores at 60 months

    Higher (55.1%)2

    Lower (36.4%)2

    Range of Motion

    Does not completely eliminate motion

    Complete loss of motion

    Adjacent Segment Degeneration (ASD) using Pfirrmann’s Disc Degeneration Grading System

    Less common and less severe4

    More common and more severe4

    Adjacent Level Overactivity

    Less4

    Greater4

    Blood Loss

    Less3,4

    More3,4
    Inpatient Length of Stay (LOS) and Ambulation Time (how long until the patient returns to light activity)Shorter3,4Longer3,4
    Non-union spinal fusion (pseudarthrosis)Eliminated because the disc is replacedPossible because the disks are grafted together
    Secondary SurgeryLower (13% of patients)2Higher (25.7% of patients)2

    5- year costs (based off of Medicare payments)

    $15,1821

    $26,8631

    JOA Score/ Oswestry Disability Index (ODI)/ Visual Analog Scale- leg pain and back pain/ SF-36 Score

    ComparableComparable
    1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964032/
    2. http://www.ijssurgery.com/content/12/4/419.abstract
    3. https://www.ncbi.nlm.nih.gov/pubmed/28254421
    4. http://spine.imedpub.com/is-the-interspinous-device-coflexoutdated-in-the-treatment-of-lumbarspinal-stenosis-a-sevenyear-followup.pdf
    5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866399/

    Additional Educational Links:

    Prevalence of spinal disorders and their relationships with age and gender (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454908/)