Interventional Minimally Invasive Spine Procedures
This page is a procedure map for interventional minimally invasive spine options discussed at SpinePain Solutions. For a plain-language definition of the specialty, use what is interventional spine care. For who may be a candidate, use minimally invasive spine surgery candidacy.
Quick Answer: Procedure Map
- This URL owns the procedure menu, not the specialty definition.
- Each technique needs matching symptoms, exam, and imaging—not an MRI alone.
- Endoscopic discectomy here is outside-in (transforaminal) for selected lateral or foraminal herniations.
- Central herniations are handled through spine surgery partners when that pathway fits.
- Emergency neurologic change needs 911, not a menu page.
How to Use This Menu
Pick the problem type below, then open the linked guide. Conservative care still comes first for most non-emergency pain. No procedure on this list is promised to “fix” every scan finding.
Disc-Related Options
- Disc-FX (FDA-cleared K162490) — percutaneous option for selected contained disc problems.
- Percutaneous discectomy (Stryker Dekompressor, FDA-cleared K032473) — when a percutaneous disc decompression pathway fits.
- Endoscopic lumbar discectomy — outside-in (transforaminal) for selected lateral or foraminal herniations.
- Diagnostic discography — when a carefully selected disc provocation study would change the plan.
- PRP, with or without Wharton’s jelly, may be discussed as an elective option in selected cases. Neither PRP nor Wharton’s jelly is FDA-approved for disc conditions, Wharton’s jelly is still being studied, and no outcome is promised.
Dr. Sharma performs endoscopic lumbar discectomy with an outside-in (transforaminal) approach for selected lateral or foraminal herniations. Central herniations are handled through spine surgery partners when that pathway fits—respected partners, not rivals.
Stenosis and Stabilization Options
- MILD (Vertos mild Device Kit, FDA-cleared K233800) for selected central lumbar stenosis patterns.
- InSpan interspinous fixation (FDA-cleared K213266; for supplemental fixation with bone graft) when indicated.
- SI fusion with bone graft every time, using SacRix (LESspine, FDA-cleared K232605) or LinQ (HCT/P allograft, not a 510(k)-cleared device) for selected sacroiliac joint pathways after appropriate workup.
Fracture Augmentation
- Vertebroplasty
- Kyphoplasty
- Condition context: compression fracture
Nerve Ablation and Injections
- Radiofrequency ablation (RFA)
- Medial branch block
- Medial branch neurectomy — compare carefully with RFA; no superiority claims.
Epidural and many peri-nerve steroid uses are typically off-label and should be explained before you agree.
Neuromodulation
- Spinal cord stimulation — see recovery and safety and the “is SCS worth trying” resource.
Procedure Menu Linked From This Page
This page is a map. Details, candidacy, and risks live on each service page. Common links include:
- Disc-FX (FDA-cleared K162490) for selected contained disc problems.
- Intracept / basivertebral nerve ablation for selected vertebrogenic pain patterns.
- LinQ and other SI fusion options using bone graft (LinQ is an HCT/P allograft, not a 510(k)-cleared device; SacRix is FDA-cleared K232605).
- MILD (Vertos mild Device Kit, FDA-cleared K233800) for selected central lumbar stenosis patterns.
- Endoscopic spine surgery — outside-in (transforaminal) discectomy for selected lateral or foraminal herniations; central herniations go to spine surgery partners when that pathway fits.
- Percutaneous discectomy (Stryker Dekompressor, FDA-cleared K032473) when anatomy fits.
- InSpan interspinous fixation (FDA-cleared K213266) with bone graft when supplemental fixation is discussed.
Older site menus also listed products such as VIA Disc or ION facet fusion. Those names are not expanded here unless the matching service page is active and cleared—ask the clinic which options are currently offered for your diagnosis.
How This Menu Relates to Open Surgery
Interventional minimally invasive procedures use needles, small portals, or limited corridors with imaging guidance. Open spine surgery uses a wider corridor when that is the right tool for decompression, fusion, or instrumentation. Neither pathway is “best” for everyone. Conservative care still comes first for most non-emergency problems [Source]. Chiropractic care can fit selected mechanical patterns—partners, not rivals.
For candidacy questions, see who is a candidate for minimally invasive spine surgery. For a plain definition of the specialty, see what is interventional spine care.
Emergency Warning Signs
Call 911 for sudden severe weakness, new bladder or bowel loss, or saddle numbness.
Care at SpinePain Solutions
Dr. Amit Sharma, Chief, Division of Pain Medicine at Good Samaritan University Hospital, matches procedures to diagnosis at Bay Shore, Commack, and Farmingdale (office locations). Call or text 631-310-0000.
Dr. Amit Sharma & our minimally invasive pain & spine team.
Frequently Asked Questions
What procedures are included under interventional minimally invasive spine care here?
Examples include Disc-FX, percutaneous discectomy (Stryker Dekompressor), selected endoscopic discectomy for lateral or foraminal herniations, vertebral augmentation, SI fusion systems, MILD, InSpan, radiofrequency ablation, and spinal cord stimulation—each only when diagnosis and anatomy fit.
When is a procedure visit an emergency instead?
Call 911 or go to the nearest emergency room for sudden severe weakness, new bladder or bowel loss, saddle numbness, or rapidly worsening neurologic change. Procedure menus are not for those emergencies. Call SpinePain Solutions at 631-310-0000 for non-emergency questions.
Does “minimally invasive” mean the same procedure for everyone?
No. The phrase describes limited corridors or percutaneous access. The right tool depends on the target—disc fragment location, stenosis pattern, fracture, joint pain, or nerve pain after surgery.
Do you treat central disc herniations with endoscopic surgery here?
Endoscopic discectomy here uses an outside-in (transforaminal) approach for selected lateral or foraminal herniations. Central herniations are handled through spine surgery partners when that pathway fits.
Where should I read about candidacy?
Start with our candidate for minimally invasive spine surgery guide, then return here for the procedure map.
Where are offices on Long Island?
Bay Shore, Commack, and Farmingdale. Call or text 631-310-0000.
Dr. Amit Sharma & our minimally invasive pain & spine team.
Medical References
- Procedure details and FDA clearance statements live on individual service pages (for example Disc-FX K162490).
- Qaseem A, et al. ACP noninvasive low back pain guideline. Ann Intern Med. 2017. PMID 28192789.
