Anyone had a interspinous process device (Minuteman) fusion procedure?

Posted by harvey2007 @harvey2007, Jun 12, 2021

Anyone have any experience with the Minuteman procedure? Do any surgeons in New York perform Minuteman procedure?

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Hi @harvey2007, as you probably know, Minuteman is one brand of interspinous process device (IPD). There are many brands and types. Here are 2 articles reviewing the different devices:
https://www.sfspine.com/interspinous-process-devices/ https://www.sfspine.com/interspinous-process-devices/
– Interspinous process devices for treatment of degenerative lumbar spine stenosis: A systematic review and meta-analysis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034833/

I'm tagging fellow members who may have first-hand experience with an IPD or are looking into it as well, members like @ftco @esperanza22 @jfsherley and @eskimo88.

Harvey, what have you learned about the Minuteman device? Pros? Cons?

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@colleenyoung

Hi @harvey2007, as you probably know, Minuteman is one brand of interspinous process device (IPD). There are many brands and types. Here are 2 articles reviewing the different devices:
https://www.sfspine.com/interspinous-process-devices/ https://www.sfspine.com/interspinous-process-devices/
– Interspinous process devices for treatment of degenerative lumbar spine stenosis: A systematic review and meta-analysis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034833/

I'm tagging fellow members who may have first-hand experience with an IPD or are looking into it as well, members like @ftco @esperanza22 @jfsherley and @eskimo88.

Harvey, what have you learned about the Minuteman device? Pros? Cons?

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Thanks so much @colleenyoung
I don’t know much about it except I read it is a very non invasive way to do a fusion. Is that correct?

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@harvey2007

Thanks so much @colleenyoung
I don’t know much about it except I read it is a very non invasive way to do a fusion. Is that correct?

Jump to this post

From reading the articles that @colleenyoung had kindly provided, it seems that the IPD usage has advantage in being minimally invasive (easier/quicker recovery) but with significantly higher risks of complications and no better overall results than the conservative surgery. And it is also (AMAZINGLY) apparent that (sadly) there's not enough good and solid comparative data/studies about the IPD results

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I had one done at L4,L5. My previous fusion was an ALIF 360 at L5,S1 with a polymer disc replacement and hardware in the front.
I had to log roll out of bed for three days and my wife helped me to walk, I have a three inch incision on my flank so the access tubes must have be quite long. I had to phone in and ask for more pain medicine a week early but this was an ambulatory center procedure. The literature states a 3 day hospital stay is sufficient. I preferred the pain control provided in a hospital environment, I have advanced OA, Spinal Stenosis:Lumbar and Cervical.The procedure was done November 18, 2021 so the jury is still out on the results. Nothing dramatic. Infact, I have noticed my legs ache now below the knees and the pain relief we were going for was pain above the buttocks which is magnified 10X just from setting out the trash. You are still going to need at least as much pain medicine and more post op at home,

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