Abstract

Background: — More than 60% of the population suffers from low back pain at some time in their lives.— Low back pain is the primary cause of disability in individuals younger than 50 years. Subsequent interspinous process devices have been designed for longer-term implantation for managing various conditions, including spinal stenosis, disk herniation, segmental instability, and degenerative disk disease. Method: — We localized the surgical level with intraoperative X-Ray.— Limited incision approach was performed: 3 cm’ to one level disease and up to 5 cm’ to two level pathology.— Semilunate incision of the fascia was opened to the side of the foramenal stenosis or disc herniation.— Full removal of the Interspinous Ligament.— Spreading of the vertebras with laminar spreader.— Insertion of the Interspinous Spacer and fixation of the Spacer to the spinous processes. Results: — Radicular and Low Back Pain relief immediately after the surgery.— Minimal postoperative wound pain due to Less Invasive Surgery.— Early patient’s mobilization after the surgery.— On the postoperative and follow-up examinations and imaging – preserve of the Intervertebral Disc Space and Foraminal Diameter, natural motions in the segment. Conclusion: — We describe the simple and clear technique of Back Pain Treatment.— Motion Preservation by Dynamic Interspinous Spacer insertion.— Limited Incision Procedure was performed to insertion of the Spacer.