Percutaneous Lumbar Decompression

This talk highlights the effectiveness and underutilization of the MILD procedure—now formally known as Percutaneous Interlaminar Lumbar Decompression—in treating lumbar spinal stenosis with neurogenic claudication. With over 110,000 cases and 88% satisfaction, it offers a non-implant, minimally invasive solution targeting the root cause: hypertrophic ligamentum flavum. Dr. Stanley Golovac explains patient identification, imaging, clinical criteria, procedural tools, and outcomes, advocating its earlier use before spacers or surgery. Emphasis is placed on diagnosing correctly, proper coding, anatomy respect during the procedure, and debulking the ligament for significant functional improvement—especially in aging populations.