After many years in the industry and spending many days in surgery and spine conference it was always my understanding that lumbar spinal stenosis was attributed to a collapsed or herniated disc. If our readers agree with this observation, how many of you have ever seen a CT where a herniated ligamentum flavum was the cause of stenosis? If a surgeon removes the ligamentum flavum and lamina isn't the disc still cooking?
Most patients that present with pain usually have nerve root compression. The conpression on the nerve root is usually emanating pain as a by product of the herniated disc not because of a herniated ligamentum flavum. Am I missing something here? Patients' are usually treated conservativelywith steroid injection, pain medication and bed rest. How many of the estimated 900,000 lumbar spinal stenosis sufferers are candidates for this procedure? Why not have a discectomy and get it over with since the size of the approach is thumb size?
One of my colleagues and I were discussing this technology and both of us agreed that an investment of a few million might be worthy, but $15,5mm? TSB speculates that these investors were either sold a bill of goods, or they know something that we don't after being so many years in this business. TSB must laud the Vertos team for one thing, they were able to get a billing code for this procedure! TSB wants to know what our readers believe and think? If there are any surgeons reading our blog, we would welcome your opinions.