Patients with back, leg, or nerve pain from lumbar spinal stenosis usually begin treatment with medication, physical therapy, or anti-inflammatory injections. For a significant number of patients, these initial treatments do not provide long-term relief. 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 to relieve pressure on spinal nerves, the source of the pain. 

The PLEF Procedure is a new treatment category and offers a new approach with fewer short- and long-term complications.

✴ The PLEF Procedure is a minimally-invasive, percutaneous surgical procedure that uses C-arm X-ray imaging to guide the specially designed PLEF tools (only 4mm diameter). It is designed to minimize damage to the spinal anatomy, while providing effective nerve decompression and pain relief.

✴  The PLEF Procedure resects the ligamentum flavum and, thereby, opens up space in the intervertebral foramen to alleviate the pressure on spinal nerves and restore the functioning of the intervertebral foramen.

✴  The PLEF Procedure avoids surgical decompression and destruction of bony structures, ligaments, and nerves.

✴  The PLEF Procedure can be done in a 30-minute outpatient procedure, through a small incision in the skin.

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.