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New Minimally Invasive Surgical Procedure Restores Quality of Life in Patients With Potentially Debilitating Spinal Condition
Date:7/29/2008

approved FDA device developed by Vertos Medical, Inc. of San Jose, Calif. This proprietary technology enables practitioners to first remove the bone -- known as a Laminotomy -- and then sculpt or thin the ligament.

To date, representatives of Vertos say that 42 patients have undergone the MILD(TM) procedure with no adverse events. Ten patients have been followed under an IRB-approved protocol designed to assess improvement of pain and disability with commonly used measurement instruments, as well as review narcotic intake. At six weeks post-treatment, the mean pain score decreased 90 percent and the mean disability score improved 84 percent, compared to baseline. Additionally, all 10 patients discontinued narcotics use for pain.

Performing the MILD(TM) procedure under radiological guidance, neurointerventional practitioners work through a metal tube -- or working cannula -- inserted through a small incision in the skin directly at the sight of the problem area. Physicians then place the Vertos device inside the cannula, applying it to the relevant bone and ligaments. Because this minimally invasive procedure allows practitioners to remove targeted portions of the bone, MILD(TM) has the advantage of protecting against the destabilization of the spine during the procedure. As with other minimally invasive treatments, patients also benefit from local anesthesia, as well as same- or next-day discharge.

According to Hirsch, like all new treatment options, the MILD(TM) procedure will continue to undergo further study to validate these initial promising results. If the procedure continues to yield the overwhelming success that it has thus far, Hirsch continues, MILD(TM), like other now- established neurointerventional techniques, will become yet another driving force in the advancement of neurointerventional practice. "Compared to other disciplines, our field is still relatively young. But it is revolutionary therapies like this one that are giving neu
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SOURCE Society of NeuroInterventional Surgery
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