What's your experience with Vertiflex Superion Implant?

Posted by esperanza22 @esperanza22, Jul 27, 2020

Has anyone had the Veriflex Superion implant. I had it and it did not seem to work for me. Would appreciate any one that has information. Thanks

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@alan2112

I am 8 weeks post surgery, and wanted to post my experience with a vertiflex implant between L4 and 5. I am 54 years old (which is far too young for this), but prior to surgery had received 6 steroid injections that would provide complete relief from my spinal stenosis, but relief would only last for only 3 to 4 weeks. At its worst prior to surgery, I was still able to walk, bend and lift, but with limitations. I did have episodes where I was not able to do normal activities (for me), and stability and strength were waning fast. I must admit upfront that I live life full-throttle, and want to continue doing so for as long as possible. I had two doctors that recommended the veriflex implant, and one who did not. The one who did not, had never worked with the vertiflex, and did not know much about it truthfully, but feared that it could negatively affect biomechanics. His preference would have been to perform a laminectomy. I chose the vertiflex based on the fact that it was removable/reversible, and a laminectomy is not. If the vertiflex did not perform well, I am being told that it can be removed, and I would not be any worse off than I was prior to the surgery (minus the down time from recovery). However, after 9 weeks I am happy to report that the original pain and discomfort that radiated down the back of my butt and legs is gone, 100%. However, there are residual problems with pain in other areas. I have more discomfort in lower areas of my back than I had previously, and I do not feel like I have full strength and mobility restored yet. I hope that this will improve in coming weeks or months as things continue to adjust and heal to the new alignment of my spine. I am still trying to exercise and build strength since I am only two weeks off of the 6 week post-surgery restrictions. I cannot help but feel that when you make an adjustment at one location, the rest of your spine will disagree, but hopefully everything quiets down eventually. However, the surgeon that did not agree with me having the procedure may have a point that such a device may impact other areas, possibly permanently. Time will tell. I would have to say that I am very much improved from having the vertiflex implant, and can only hope that I get many years of relief. The strangest residual complication from the procedure is the ringing in my ears. It started about a week after the surgery, and has not gone away since. The doctor that did the procedure has no clue why, or how to treat it. It is not terrible, but it is noticeable. If it continues, I may have to have someone look into that further. I don't want to get into the mode of simply chasing one problem to the next.
My personal advice for anyone considering this procedure, RESULTS WILL VARY! It all depends on the severity of your stenosis, your age, your activity level, your expected outcome, your weight, other health issues, etc. etc, etc. It is not a cure-all for your spine. I have other arthritis issues in my spine that it may have aggravated from the procedure. But it did fix the one relatively new (2-3 years) pain and problems from my stenosis at that one location. And as of right now, it was worth it. I hope the other, more minor, complications and pains subside, but to be honest, they are more minor than the pain and limitations that were relieved by the vertiflex. Good luck, and hope this helps in your decisions, and one way or the other, I hope you all get feeling better, and stay active.

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I am discussing the Vertiflex procedure with my doctor now. How are you doing 2 months postop?

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@debjacobs

My dad is 96 and has vertiflex procedure scheduled for Aug. 12. He has spinal stenosis and cannot stand or walk without pain. He does not experience pain while sitting or laying. So we're hoping to get him some relief. He has tried epidural, oxy. Gabapentin, tramadol, alleve, Tylenol, venlaflaxin, CBD, actemenaphine. He has suffered for about 5 years with the pain when standing. He is willing to give it a try with 2 implants.
His doctor has been doing the procedure since Sept. With positive results. Please say a prayer for both of them.

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I will probably have 2 Vertiflex implants in September. Keep us posted on your dad’s progress.

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A friend of mine did and so far so good. I'm considering and would be curious to learn about your experience.

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@kdurham

It appears my dad may be having an allergic reaction to the titanium device implanted w the Vertiflex procedure. Are there any tx options other than removing the implant?

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I had a Vertiflex procedure back in March this year L4/5. It has helped some maybe 25%
Now after 5 months I’m experiencing a pulling from my buttocks down the back of my legs.
Is really painful walking. Each morning the first thing I have to do take pain medication.
Has anyone else experienced this and if so, do you find anything to help it. Thanking you in advance for any suggestions or help.

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@ladeedi51

I had a Vertiflex procedure back in March this year L4/5. It has helped some maybe 25%
Now after 5 months I’m experiencing a pulling from my buttocks down the back of my legs.
Is really painful walking. Each morning the first thing I have to do take pain medication.
Has anyone else experienced this and if so, do you find anything to help it. Thanking you in advance for any suggestions or help.

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Hello @ladeedi51. Sorry to hear that you are having some additional pain at this point.

You will notice that I have moved your post into an existing discussion on the Vertiflex procedure that you can find here: https://connect.mayoclinic.org/discussion/vertiflex-procedure/

Members @kdurham and @jenniferhunter have both shared in this discussion and may be able to come back and add their thoughts.

I am wondering if you had stretching as part of your post-op recovery and, if so, if that is something you have continued or are doing?

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@kdurham

It appears my dad may be having an allergic reaction to the titanium device implanted w the Vertiflex procedure. Are there any tx options other than removing the implant?

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Thank you Amanda for responding and also moving me to Vertiflex discussion board.
I have been going to PT since May. Doing a lot of stretching at that time. Now I have only been going for deep tissue massage for the problem I mentioned but it hasn’t helped. In answer to your question - I have not been doing my exercises & stretches the way I should be. Not in a consistent basis. Maybe I should try doing them again.

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Hi: I am a 78 y/o male with severe stenosis. I had 2 Vertiflex implants 6 weeks apart. The first one at L4-5 pushed L4 up and caused severe groin and thigh pain. Second on at L4-3 didn't help much. Now almost a year later still in a lot of pain. A spine surgeon suggests that the L4-5 implant helped to actually herniate the disc. Seems like a lot of the Doctors that perform this procedure are not surgeons, mine was an anesthesiologist trained by Boston Scientific to do the implants. Boston Scientific has "factory reps" that try to intervene when problems arise. Mine was a nice guy but basically no assistance. Doctor that performed the procedures no longer with that practice. I am basically sorry I ever heard of Vertiflex.

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I had a procedure, called MILD, performed by a pain mgt doctor on June 24. Immediately after waking up , I told him I had nerve pain in both legs. It felt like sciatica. He brushed it off saying that was normal. Two days later I went back to his office and said somethings wrong --my legs are in pain. Lots of pain. Again he brushed it off. He suggested injections again and an MRI, steroids. Nothing worked. I decided to see a Neurosurgeon in Wellington, FL.This is the same Neurosurgeon that did a minimally invasive successful back surgery on my brother.
As I'm writing this, I am several hours post surgery. I feel good but time will tell. I had a laminotomy and microdesectomy.
What I wanted you to know is that after the surgery, the neurosurgeon came out and told my husband that the pain mgt doctor had nicked the Dura surrounding the nerves during the MILD procedure. There were drops of spinal fluid floating around. I think the Dura is some sort of sheath - the MRI showed several drops of spinal fluid floating around(!) (The pain mgt dr told us he was "aggressive" when he was doing the procedure on me. I guess so!)
A pain mgt doctor is NOT a neurosurgeon. If anything goes wrong, they are not versed in taking care of a major spinal surgery mistake. The upshot of all of this is, while orthopedic doctors generally have a “fellowship” in neurosurgery, it’s limited training. A neurosurgeon, on the other hand, is much more capable when it comes to nerves in the entire body.

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@vfb

Hi: I am a 78 y/o male with severe stenosis. I had 2 Vertiflex implants 6 weeks apart. The first one at L4-5 pushed L4 up and caused severe groin and thigh pain. Second on at L4-3 didn't help much. Now almost a year later still in a lot of pain. A spine surgeon suggests that the L4-5 implant helped to actually herniate the disc. Seems like a lot of the Doctors that perform this procedure are not surgeons, mine was an anesthesiologist trained by Boston Scientific to do the implants. Boston Scientific has "factory reps" that try to intervene when problems arise. Mine was a nice guy but basically no assistance. Doctor that performed the procedures no longer with that practice. I am basically sorry I ever heard of Vertiflex.

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I hear you! I am so sorry for the pain you are going through. See my post above, I too had a procedure that was botched by a pain manager/anesthesiologist.

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@vfb

Hi: I am a 78 y/o male with severe stenosis. I had 2 Vertiflex implants 6 weeks apart. The first one at L4-5 pushed L4 up and caused severe groin and thigh pain. Second on at L4-3 didn't help much. Now almost a year later still in a lot of pain. A spine surgeon suggests that the L4-5 implant helped to actually herniate the disc. Seems like a lot of the Doctors that perform this procedure are not surgeons, mine was an anesthesiologist trained by Boston Scientific to do the implants. Boston Scientific has "factory reps" that try to intervene when problems arise. Mine was a nice guy but basically no assistance. Doctor that performed the procedures no longer with that practice. I am basically sorry I ever heard of Vertiflex.

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My pain Dr. is recommending a.’Minuteman’ device which is similar to Vertiflex but fuses it in place to prevent movement.

Anyone familiar with Monuteman?

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