Spinal Stenosis. New Treatments for an Old Diagnosis. Is It Time to Incorporate New Innovations into Your Practice?-Session Recording

Video Transcription

Video Summary

The session focused on advancements in treatments for spinal stenosis, highlighting both traditional and emerging techniques. Dr. Ali Mustafi began by welcoming attendees and introducing the panel. The discussion led by Dr. Isaac provided an overview of spinal stenosis, noting its common symptoms like neurogenic claudication and the importance of diagnosing and differentiating between spine and hip mechanics. He presented insights into imaging and the weak correlation between stenosis severity and symptoms.<br /><br />Dr. Bhagrava expanded on treatments, addressing the insufficient evidence supporting current pharmacologic and non-pharmacologic interventions. He explored various procedures, including injections, physical therapy, and the potential role of acupuncture and braces. Bhagrava also detailed epidural steroid injections, highlighting different techniques and their outcomes.<br /><br />Dr. Mustafi then presented advanced procedures like minimally invasive and indirect decompression techniques, including MIDAS, VertiFlex, CoFlex, and other fusion devices. These treatments potentially fill the treatment gap and offer less invasive alternatives to traditional laminectomy and fusion surgeries. Mustafi emphasized the importance of personalized treatment plans based on specific symptoms, noting factors like age, health status, and severity.<br /><br />Patient satisfaction, surgical outcomes, and the potential for adjacent level surgeries were discussed. The session concluded with a Q&A, with discussions on various spinal stenosis treatments and their future implications in practice. Gloves for using endoscopic decompression were also considered, indicating a need for more comparison studies in this growing field.

Keywords

spinal stenosis

treatments

Dr. Ali Mustafi

neurogenic claudication

diagnosis

imaging

epidural steroid injections

minimally invasive techniques

fusion devices

personalized treatment

surgical outcomes

endoscopic decompression