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Lumbar Spinal Stenosis Minimally Invasive Treatment with Bilateral Transpedicular Facet Augmentation System

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Abstract

Purpose

The purpose of this study was to evaluate the effectiveness of a new pedicle screw-based posterior dynamic stabilization device PDS Percudyn System™ Anchor and Stabilizer (Interventional Spine Inc., Irvine, CA) as alternative minimally invasive treatment for patients with lumbar spine stenosis.

Methods

Twenty-four consecutive patients (8 women, 16 men; mean age 61.8 yr) with lumbar spinal stenosis underwent implantation of the minimally invasive pedicle screw-based device for posterior dynamic stabilization. Inclusion criteria were lumbar stenosis without signs of instability, resistant to conservative treatment, and eligible to traditional surgical posterior decompression.

Results

Twenty patients (83 %) progressively improved during the 1-year follow-up. Four (17 %) patients did not show any improvement and opted for surgical posterior decompression. For both responder and nonresponder patients, no device-related complications were reported.

Conclusions

Minimally invasive PDS Percudyn System™ has effectively improved the clinical setting of 83 % of highly selected patients treated, delaying the need for traditional surgical therapy.

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Conflict of Interest

We declare we have no conflict of interest.

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Authors and Affiliations

  1. Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome “Tor Vergata”, Rome, Italy

    Salvatore Masala, Giovanni Nano, Roberto Fiori, Valerio Da Ros & Giovanni Simonetti

  2. Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy

    Umberto Tarantino & Riccardo Iundusi

Authors
  1. Salvatore Masala
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  2. Umberto Tarantino
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  3. Giovanni Nano
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  4. Riccardo Iundusi
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  5. Roberto Fiori
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  6. Valerio Da Ros
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  7. Giovanni Simonetti
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Correspondence to Giovanni Nano.

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Masala, S., Tarantino, U., Nano, G. et al. Lumbar Spinal Stenosis Minimally Invasive Treatment with Bilateral Transpedicular Facet Augmentation System. Cardiovasc Intervent Radiol 36, 738–747 (2013). https://doi.org/10.1007/s00270-012-0478-x

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  • DOI: https://doi.org/10.1007/s00270-012-0478-x

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