Patients with lumbar spinal stenosis usually begin treatment with medication (opioids), physical therapy, or anti-inflammatory injections. Millions of LSS patients do not achieve long-term relief with conservative approaches. The current surgical options available to them include various types of surgical decompression, including endoscopic foraminoplasty, or as a last step, spinal fusion. All types of surgical decompression involve some alteration of the spinal anatomy (drilling, shaving, or cutting bones or tissues) to relieve pressure on spinal nerves, the source of the pain. 

PLEF is a new treatment category and offers a less destructive approach with fewer complications.

✴ PLEF flips conventional wisdom on its head: drilling, cutting, or shaving spinal structures are not necessary to treat LSS.

✴  PLEF’s restores foraminal space with its patented procedure: 1) a saline injection in the disc space; 2) resection of the ligamentum flavum; and 3) anti-inflammatory injections.  PLEF achieves nerve decompression and pain relief by restoring the natural function of the spinal anatomy.

✴  The PLEF procedure can be done in a 30-minute outpatient procedure, through a small (4 mm) incision in the skin, using a specially designed surgical toolkit and C-arm imaging.

Note: The PLEF toolkit is not being offered for sale in the United States at this time.  Check back for news on our innovation pipeline.