Donald Corenman, MD, DC
Moderator
Post count: 8431

First you must understand that I do not think that Coflex is a useful product for most individuals. This device is designed to flex the two vertebra by wedging in between the two spinous processes. This position does not help the overall alignment of the lumbar spine and can be detrimental. I have taken out many Coflex devices that have eroded into the spinous processes or have caused more pain.

The question that needs to be answered is what is causing your pain. Is it the facets, the instability of the level (degenerative facets are associated with degenerative spondylolisthesis and instability-see website) or compression of a nerve root or spinal canal (central stenosis)?

If the pain is generated from nerve compression? Then you need a decompression. Is it from degenerative facets without instability? You might need facet rhizotomies (see website). Is the pain from instability? You might need a fusion. These surgical plans of course are determined if you have failed conservative treatment.

Dr. Corenman