TREATMENT OVERVIEW

The Minuteman® Procedure

The Minuteman® by Spinal Simplicity is a cutting-edge, minimally invasive device used to stabilize and fuse the SI joint or lumbar spine. Its revolutionary lateral approach avoids the major muscle disruption of traditional surgery, leading to less pain, a shorter hospital stay, and a faster recovery. It is a modern solution for conditions like SI joint dysfunction, spondylolisthesis, and degenerative disc disease.

Medical illustration showing the Minuteman device implanted from a lateral approach
Surgeon using fluoroscopy to guide the placement of the Minuteman device

Quick Facts

  • • Procedure Duration: Approximately 1 hour
  • • Recovery: Walking same day, faster than traditional fusion
  • • Incision Size: A single one-inch incision on the side
  • • Approach: Muscle-sparing lateral (side) approach

PROCEDURE DETAILS

What is the Procedure?

The Minuteman is a surgical procedure performed in an operating room, typically under sedation or general anesthesia. While you are positioned on your side, your surgeon makes a single, small incision (about one inch) on your flank.

Using fluoroscopy (live X-ray) for guidance, a narrow pathway is created to the spine. Unlike traditional surgery, this lateral approach avoids cutting or damaging the major muscles of the back. This muscle-sparing technique is the key to a less painful, faster recovery.

The Minuteman implant is inserted in a compressed form and then expanded once in the correct position. Its wings open to securely grip the bone, providing immediate stability. Bone graft material is packed into the implant to stimulate the bones to grow together over time, creating a solid, permanent fusion.

TREATMENT ADVANTAGES

What are the Benefits?

The Minuteman procedure revolutionizes spinal stabilization by offering the benefits of a fusion through a much less invasive and muscle-sparing technique.

Truly Minimally Invasive

Performed through a single small incision on your side, this technique avoids the large incisions and trauma of traditional open back surgery.

Muscle-Sparing Technique

The lateral approach avoids cutting or disrupting the critical stabilizing muscles of the back, leading to significantly less post-operative pain.

Faster Recovery Time

With less tissue disruption, patients typically experience a quicker and more comfortable recovery, allowing an earlier return to daily activities.

Reduced Blood Loss & Risk

The minimally invasive nature of the procedure results in significantly less blood loss and a lower risk of complications compared to traditional fusion.

Outpatient Option

For many patients, the Minuteman procedure can be performed on an outpatient basis, allowing you to recover in the comfort of your own home.

Immediate Stabilization

The expandable implant provides immediate fixation and stability to the painful segment of your spine while the permanent bone fusion develops.

IMPORTANT INFORMATION

What are the Risks and Side Effects?

While the Minuteman procedure is a significant advancement over traditional surgery, it is still a fusion procedure and carries the risks inherent to any surgery. Your surgeon will discuss these with you in detail.

Common Side Effects

  • Post-operative pain and soreness at the incision site
  • Bruising and swelling in the flank or buttock area
  • Temporary difficulty with certain movements
  • Mild muscle spasms in the back or hip

Rare Complications

  • Standard surgical risks (infection, bleeding, blood clots)
  • Nerve injury or irritation
  • Improper healing of the fusion (nonunion)
  • Implant malposition, migration, or failure

Important: Adhering to all post-operative instructions, especially activity restrictions, is the most crucial factor in ensuring the bones heal properly for a successful, long-term fusion.

PREPARATION GUIDE

How to Prepare for the Procedure?

Proper preparation for your surgery is essential for a smooth procedure and recovery. Please review the following important steps.

Review of Allergies

Ensure you have a thorough review with Dr. Fura. Disclose all allergies, especially to medications like contrast dye.

Medication Adjustments

Stop blood thinners and other specific medications as instructed by Dr. Fura before your procedure.

Fasting & Transportation

Do not eat or drink after midnight. You must arrange for a responsible adult to drive you home afterward.

Day of Procedure Attire

Wear comfortable, loose clothing. Avoid jewelry and leave valuables at home for safekeeping.

RECOVERY GUIDE

What is the Post-Procedure Care?

Your recovery is faster than traditional fusion but still requires a dedicated period of healing and a careful, gradual return to activity.

Immediate Post-Op

After a short period in recovery, you will be helped to stand and walk. Many patients can go home the same day. You will use a walker for support initially.

First Few Weeks

The focus is on pain management and protecting the healing site. You will have strict restrictions on bending, lifting, and twisting. Short, gentle walks are encouraged.

Weeks 6-12

A follow-up visit with X-rays will check the implant and early healing. Your surgeon will gradually lift your restrictions and may clear you to begin formal physical therapy.

Full Recovery

The bone fusion process continues for several months. Follow-up appointments will monitor your progress until you are fully healed and can return to a more active lifestyle.

When to Contact Your Doctor

  • Signs of infection (fever > 101°F, chills, drainage from incision)
  • Signs of a blood clot (calf pain and swelling, shortness of breath)
  • Severe, uncontrolled pain not helped by medication
  • New or worsening weakness, numbness, or pain in your legs

Ready to Get Started?

Please don't hesitate to reach out and request an appointment. We look forward to meeting with you, addressing your concerns, and working together to enhance your quality of life.

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