Posterior Dynamic Stabilization

New concept for the treatment of spine stabilization.

The interspinous implant was designed for functional and dynamic stabilization of the spine after decompressive surgery.

After decompressive spine surgery (e.g. in case of lumbar stenosis), three factors must be taken into account:

  • Stabilization. As a result of decompressive surgery, spinal stability may be lost. This loss of stability usually requires an arthrodesis or spinal fusion. Or it can be compensated by the insertion of an implant or interspinous spacer that also ensures that the correct height of the segment in question will be maintained (space between two vertebrae). With this procedure, the vertebral joint is actively decompressed and the nerve roots that were previously irritated are now decompressed.
  • Maintenance of mobility. In addition to stabilization, maintenance of function – i.e. mobility – is very important to prevent progression of the degenerative process in adjacent vertebral segments. The implant has a certain flexibility, thus behaving as functionally dynamic, limiting excessive flexion and extension, and allowing the diameter of the foramina to be preserved.
  • Less invasive treatment. The procedure is performed in a minimally invasive manner, while allowing safety and precision to the surgeon.

The procedure

The procedure requires general anesthesia. First the exact location of the lumbar spinal stenosis is determined by X-ray and the skin incision is defined. The skin is then incised and the paravertebral muscles are moved aside on both sides, allowing the spinal canal to be opened.

The next step involves decompression of the irritated nerve roots. To do this, the surgeon will, if appropriate, remove any portions of bone, ligaments or disc that are contributing to the narrowing of the canal.

The implant is then inserted between the adjacent spinous processes in a very tight manner, and firmly fixed to the bone and ligaments by sutures.

Once decompression of the irritated nerve roots is complete, the implant will permanently stabilize the spine. Maintenance of function is now assured.

After surgery

While pain in the lumbar region at the surgical site may be uncomfortable, you will be given analgesics to relieve the pain.

The implant is ready for immediate weight bearing and also stabilizes the spine. The patient will be able to get up and stand very soon after surgery.

During the first weeks after surgery, some overloading of the spine such as lifting weights, twisting of the spine or bending backwards should be avoided. This will accelerate the healing process around the implant.


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Patient Reviews

After months of intense pain in my back and leg due to a hernia, and after being full of medications and rehabilitation sessions, finally a friend recommended this clinic and I was absolutely right. They visited me very quickly and Dr Ruiz performed a radiofrequency intervention that has solved the problem, it no longer hurts and I have regained my quality of life, which I had lost. I only have words of gratitude

I had a rhizolysis two years ago and it is the best decision I ever made. I was advised to go to this clinic. Excellent staff and treatment. I would come back without hesitation. I am a different person since I don’t feel any pain.

In a frankly desperate situation with my mother suffering from trigeminal neuralgia and with continuous and terrible pain during confinement and no public health doctor able to relieve her pain in any way, it was miraculous to find this center by surfing the internet. In just a couple of weeks after the initial visit, Dr. Ruiz operated on my mother in an outpatient and non-aggressive surgery and in just a few days she regained speech, mobility and finally began to sleep as she no longer suffered the tremendous pain. And if the treatment has been effective thanks to the hands of a great doctor, this does not mean that the whole team at the center is not deserving of credit. From the reception to the nurses, they are all exemplary professionals who make you feel safe and in good hands at all times. My mother is already another and just 4 months later we are aware that there is no better investment than health and Clínica Vértebra is a success. Totally recommendable. THANKS A MILLION.

It has been a long time since I felt what it was like to live without pain. I only have words of gratitude for the whole team, from the reception staff to the operating room team. Thank you Dr. Squarcia for such a detailed explanation of my problem and for the accuracy of the treatment. I pray to God that this wellness lasts for a long time.

I had a lumbar facet denervation (Rhizolysis) this morning and I have to say that «O» pain. It has been 10 hours since the intervention and I am still without any pain and without medication. Congratulations to the whole team. Viggo Adeler (Physician)

Good treatment and attention, I went with a horse sciatica and they left me like new, I only have words of thanks.

It is a place that has improved my quality of life.

I only have words of thanks to Doctors Ricardo Ruiz and Dr. Matias, I have gone to them twice, and I only have words of thanks, they have solved my problem, first of Lumbar vertebrae and the second of a shoulder, and in both cases total success, I have not returned to have any kind of discomfort, I am totally grateful to them, they have changed my life. THANK YOU DOCTORS, you are fantastic.

First visit with Dr. Mattia Squarcia, finally a doctor who listens to me and looks at all my medical tests. I have already had a bad experience with another pain clinic where the doctor did not listen to me and did not even look at a single medical test.

I have only words of thanks, thank you Doctor Ricardo Ruiz.