Procedure Not Recommended

Interspinous & Interlaminar Devices

Risks, Complications & Better Alternatives

Interspinous and interlaminar devices are metal implants attached between vertebrae that destroy stabilizing spinal structures during placement, frequently fail due to migration and hardware breakdown, and often leave patients worse off than before surgery.
X-ray of a spine with two different spinal implants, one on each side.

⚠️ While Deuk Spine Institute can perform Interspinous & Interlaminar Device implantation, we do not recommend it.
This page explains why — learn the risks before consenting to this procedure.

THE SURGICAL PROCESS

How Are Interspinous & Interlaminar Devices Implanted?

Graphic Surgical Content

The videos below contain real surgical footage. Viewer discretion is advised.

Step 1: Large Skin Incision

A 2–4 inch incision is made along the spine to expose the underlying vertebral structures.

Step 2: Remove Dorsal Fascia

The tough connective tissue covering the spine muscles is cut and stripped away.

Step 3: Remove Muscles from Spine

Spinal muscles are stripped from the bone, causing permanent damage and weakness.

Step 4: Remove Spinous Process & Ligaments

The spinous process, interspinous ligaments, and supraspinous ligaments are partially or fully removed.

Step 5: Remove Lamina & Ligamentum Flavum

The lamina and ligamentum flavum are removed, exposing the spinal cord and nerves.

Step 6: Attach Metal Implant to Spine

A metal interspinous or interlaminar device is attached between adjacent spinous processes and laminae.

CRITICAL RISKS

Why We Don't Recommend Interspinous & Interlaminar Devices

15 documented reasons with supporting images and surgical footage.

Graphic Medical Content

Images and videos below contain real surgical procedures and medical imagery.

Surgical incision with retractors exposing internal hardware.

Highly Invasive Procedure

Excessive Bleeding

Surgical retractors holding open a small incision on skin, revealing metal hardware underneath.

Destroys Stabilizing Bones

Surgical procedure showing spinal implant placement in an open incision.

Destroys Stabilizing Ligaments

Surgical site showing spinal hardware placement with retractors in two views.

Destroys Spinal Muscles

A person lifts their shirt to reveal a large, vertical scar on their back.

Excessive Scar Tissue

A patient lies in a hospital bed hooked to monitors in an ICU room.

Complications Are Common

Two spinal CT scans with arrows indicating areas of concern on vertebrae.

Spinal Instability

Illustration of an inflamed annular tear and herniation causing back pain.

Disc Injuries Left Untreated

Illustration of a human spine with a close-up showing inflamed vertebrae and discs.

Stenosis Persists or Returns

MRI image showing adjacent segment disease with labeled stenosis, herniation, and artificial discs.

Adjacent Segment Disease

White pills scattered near an open orange pill bottle on a gray surface.

Severe Post-Operative Pain

Left: surgical procedure on patient, Right: man holding lower back with highlighted spine pain.

Back Pain Gets Worse

X-ray images showing spinal surgeries with metal implants and screws.

Additional Surgery Required

Collage of back pain treatments: massage, injection, lumbar support, and physical therapy.

Lifetime Pain Management

DOCUMENTED COMPLICATIONS

What Can Go Wrong?

Graphic Medical Content

Images and videos below contain real surgical procedures and medical imagery.

A person's back with multiple visible moles and freckles.

Nerve Root Damage

Permanent nerve damage causing weakness, numbness, or paralysis in extremities.

MRI image showing a spinal fluid leak with red arrows and text indicating the leak location.

Spinal Fluid Leak

Dural tears leading to cerebrospinal fluid leaks, requiring additional repair surgery.

Close-up of a red and inflamed skin lesion with irregular edges.

Infection

Discitis, osteomyelitis, and infections of blood, spinal fluid, lungs, bladder, and kidneys.

MRI scan of the lower spine with two red arrows pointing to specific areas.

Recurrent Disc Herniation

Disc herniation returns because the device does not treat the underlying disc injury.

Close-up illustration of an inflamed spine with highlighted discs and nerves.

Residual Stenosis

Stenosis persists or reoccurs after device placement, requiring additional surgery.

X-ray of a spine showing metal hardware labeled as failing.

Hardware Failure

Implant migration or separation requiring emergency revision surgery.

CT scan showing a spinal fracture labeled with an arrow.

Proximal Junction Kyphosis

Proximal junction kyphosis and failure causing abnormal spinal curvature above the device.

Illustration of a cracked vertebra in a spinal column with red highlighting the damage.

Vertebral Fracture & Subsidence

Vertebral fracture, subsidence, and telescoping of the implant into weakened bone.

MRI of a spine showing stenosis, herniation, and artificial discs with labeled arrows.

Adjacent Segment Disease

Adjacent segment disease and spinal instability caused by altered biomechanics.

Illustration comparing normal leg to one with deep vein thrombosis symptoms like swelling and redness.

DVT, Embolism & Heart Attack

Deep venous thrombosis, pulmonary embolism, heart attack, and pneumothorax.

A man holding his lower back, with a highlighted spine and red area indicating pain.

Failed Back Surgery & Chronic Pain

Permanent failed back surgery syndrome with unrelenting chronic pain.

A woman appears upset in the foreground while a man is blurred in the background.

Sexual Dysfunction

Sexual dysfunction and retrograde ejaculation from surgical nerve damage.

CT scan showing spinal hardware and labeled injury to blood vessels with stents.

Vascular & Organ Injury

Injury to blood vessels, bladder, or ureters during surgical approach.

Side-by-side MRI scans showing a normal spine and a spine after fusion with scar tissues.

Excessive Scar Tissue

Excessive scar tissue formation around the spine and nerves post-surgery.

Comparison of spinal CT scans showing heterotopic ossification and osteonecrosis with labeled annotations.

Heterotopic Ossification

Heterotopic ossification and osteonecrosis — abnormal bone growth and bone death.

Death

Death

Fatal complications from surgery, anesthesia, blood clots, or post-operative events.

Medical team in a surgical room with a patient under an imaging machine.

Excessive Radiation Exposure

Excessive radiation exposure from fluoroscopy during device placement and follow-up imaging.

Person in gray shorts with a red rash on their lower back in a kitchen setting.

Allergic Reactions

Allergic reactions to metal implant materials causing inflammation and tissue damage.

WHAT WE RECOMMEND INSTEAD

Deuk Laser Disc Repair®: A Safer, Proven Alternative

Instead of attaching metal hardware to your spine, Deuk Laser Disc Repair® uses endoscopic technology and laser precision to treat the actual source of pain — the damaged disc — through an incision smaller than a fingernail.

No Bone
Removal

Your spine's stabilizing structures remain completely intact. No lamina, spinous process, or ligament destruction. No metal hardware attached.

Treats the Root Cause

Laser technology directly repairs the damaged disc — the actual source of pain that interspinous and interlaminar devices completely ignore.

Same-Day Recovery

Outpatient procedure under light sedation. Walk out the same day — no hospital stay, no intubation, no opioids required.

Proven
Results

95% patient satisfaction, 0.01% complication rate, and over 1,300 successful procedures performed by Dr. Deukmedjian.

Feature

Interspinous/Interlaminar Devices

Deuk Spine Procedure

Procedure Type

❌ Invasive, hardware implantation

✅ Minimally invasive, endoscopic

Incision Size

❌ 2–4 inches

✅ Less than 1/4 inch

Anesthesia

❌ General (intubated)

✅ Light IV sedation

Hardware

❌ Metal implant attached to spine

✅ None

Treats Disc Injury

❌ No — disc left untreated

✅ Yes — laser repairs the disc

Hospital Stay

❌ 1–3 days inpatient

✅ Outpatient — go home same day

Recovery Time

❌ 4–8 weeks

✅ Days

Complication Rate

❌ High — device failure common

✅ 0.01%

Success Rate

❌ Variable — many end in pain management

✅ 95% patient satisfaction

Repeat Surgery

❌ Common — device migration, failure

✅ Rarely needed

A BETTER ALTERNATIVE

Deuk Laser Disc Repair®

Minimally invasive, outpatient procedure with a 0.01% complication rate and 95% patient satisfaction. No bone removal. No metal hardware. Same-day recovery.

95%

Patient Satisfaction

0.01%

Complication Rate

1 Hour

Procedure Time