A paradigm shift from fusion to non-fusion is not a conceptual
exercise. The gap in the treatment continuum from conservative
care to fusion is being filled with early-stage technologies such as
interspinous stabilization. The success of these technologies will
evolve through surgeon driven, indication specific solutions for the
clinical problems faced in the surgeon’s daily practice.

Non-fusion procedures will allow for the spine to restabilize toward
its natural biomechanical state, allow for rebalancing of the spinal
segment, restoring natural anatomical function, and perhaps lead
to some degree of "re-healing". These procedures will fill the large
gap in the treatment continuum while being reversible and delaying
a permanent surgical procedure such as a spinal fusion.
Intraoperative instability after decompression can be stabilized by
interspinous devices. If late instability is projected, interspinous
stabilization may prevent this.

Interspinous stabilization with coflex™ is ideal in cases of facet
arthrosis and all related decompressive procedures. Implantation
of coflex™ allows for segmental stabilization, controlling motion.

Stabilization does not necessarily equate with fusion.