Pablo Pazmi ñ o, MD

56 y.o. male with acute onset of severe pain radiating into buttocks bilaterally. Motor exam revealed no weakness Decrease to light touch in the L5 and L4 distribution. Oswestry score of 78 Low back pain VAS of 74/100 Right leg pain VAS of 74/100 Left leg pain VAS of 73/100

56 y.o. male with acute onset of severe pain radiating into buttocks bilaterally.

Motor exam revealed no weakness

Decrease to light touch in the L5 and L4 distribution.

Oswestry score of 78

Low back pain VAS of 74/100

Right leg pain VAS of 74/100

Left leg pain VAS of 73/100

Minimally Invasive Exposure

Preserve Supraspinous Ligament

Prepare Interspinous Space

Microsurgical Decompression

coflex TM Trial Distraction

coflex TM Wing Opening Pliers

coflex TM Wing Opening Pliers

coflex TM Implantation

Surgical Procedure : coflex™ coflex TM Implantation

Check coflex TM Position

The round part stops 4 mm within the dural sac Surgical Procedure : coflex™ Check coflex TM Position

« U » DIAM Surgical Procedure : coflex™ Check coflex TM Position coflex TM

coflex TM Wing Closing Pliers

Resuture Supraspinous Ligament

Double Level coflex TM

Pt off all pain medication VAS of 30/100 Reflexes in lower extremities are 2/4 Normal sensation

Pt off all pain medication

VAS of 30/100

Reflexes in lower extremities are 2/4

Normal sensation

Thank you.

Thank you.