Minimally Invasive Interspinous-Interlaminar Fusion
Minimally invasive interspinous interlaminar fusion is a spine stabilization procedure designed to treat chronic low back pain caused by spinal instability or degeneration.
This technique involves placing a small implant between the bones of the spine (spinous processes) to limit painful movement, stabilize the segment, and reduce pressure on nearby nerves—without the need for traditional open surgery.
Compared to conventional spinal fusion, this approach is less invasive, preserves surrounding tissue, and typically allows for faster recovery.
What Conditions Does This Treatment Help?
- Chronic low back pain
- Spinal stenosis
- Degenerative disc disease
- Facet joint syndrome
- Mild spinal instability
How Does Interspinous Interlaminar Fusion Work?
- A small implant is placed between the spinous processes
- The device limits extension (backward bending) of the spine
- This reduces pressure on nerves and joints
- Over time, the segment stabilizes, reducing pain
What to Expect During the Procedure
Before the Procedure
- Imaging studies such as MRI or CT scan
- Evaluation of prior treatments and symptoms
During the Procedure
- Performed under local anesthesia with sedation or general anesthesia
- A small incision is made in the lower back
- The implant is placed between the vertebrae using imaging guidance
- Procedure typically takes 1–2 hours
After the Procedure
- Most patients go home the same day or next day
- Mild soreness at the incision site
- Gradual return to normal activities
Benefits of Interspinous Interlaminar Fusion
✔ Minimally invasive alternative to traditional fusion surgery
✔ Stabilizes the spine while preserving motion
✔ Reduces pressure on nerves
✔ Shorter recovery time compared to open surgery
✔ May improve walking tolerance and daily function
Many patients experience meaningful pain relief and improved mobility after recovery.
Who Is a Good Candidate?
You may be a candidate if you:
- Have chronic low back pain lasting several months or longer
- Have spinal stenosis or degenerative changes
- Experience pain that worsens with standing or walking
- Have not improved with conservative treatments
- Want to avoid major spine surgery
A detailed evaluation is required to determine if this procedure is appropriate.
Risks & Side Effects
- Infection or bleeding
- Implant-related issues
- Nerve irritation
- Continued or recurrent pain
When Is This Treatment Recommended?
- Conservative treatments have failed
- Pain is related to spinal instability or stenosis
- Symptoms significantly impact mobility and daily life
- Patients want a less invasive alternative to traditional fusion surgery
Recovery & Results
- Initial recovery typically takes a few weeks
- Gradual return to normal activities
- Physical therapy may be recommended
- Long-term improvement in stability and pain levels
FAQs
Treatment Offered By Kansas Pain Management
Kansas Pain Management offers a comprehensive pain treatment plan that is tailored to each patient’s specific needs. The first step is a thorough evaluation, which includes a medical history, physical examination, and diagnostic testing, if necessary.
Treatment options may include medications, physical therapy, injections, or surgery, depending on the underlying cause of the pain.
Kansas Pain Management also offers a range of minimally invasive procedures to help alleviate pain and restore function. With board-certified and fellowship-trained physicians, Kansas Pain Management is committed to providing the highest quality care for patients suffering from pain. You can book an appointment with us at Overland Park, Lawrence, Leavenworth/Lansing, Roeland Park, etc. We also serve nearby locations like Ottawa, Missouri, Topeka, Belton, Manhattan, Lee’s Summit, Johnson County & Kansas areas.
Book an appointment here to learn more or call us at 913-339-9437 to schedule now.
Some Of The Other Surgical Procedures We Provide:
FAQs
Patients with spinal stenosis who have failed conservative treatments and medications, and who experience increased back pain when straightening the back.
Lumbar spinal instability, spinal stenosis at a single level, spondylolisthesis, degenerative disc disease, lumbar fusion after prior spinal surgery, and pseudoarthrosis 12 months from prior spinal surgery.
By fusing vertebrae together and supporting spinal segments with the interspinous-interlaminar fusion device.
Yes, it aims to reduce pain, stabilize the spine, and restore function for patients with spinal conditions.
What We Do
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Google Reviews
Posted on JT's Carpet CleaningTrustindex verifies that the original source of the review is Google. Dr kneeman was very professional and explained everything, and extremely good looking thanksPosted on Vincent JerkovichTrustindex verifies that the original source of the review is Google. I highly recommend Dr. Dalal and her staff. They really helped to resolve my back pain!Posted on Marty MarcotteTrustindex verifies that the original source of the review is Google. I was experiencing a lot of back pain and got an appointment very quickly. I saw Dr. Dalal and she immediately determined a plan. I have had both cortisone shots and nerve ablation. I am so much better and I owe it all to the attention and great treatment from Kansas Pain Management, specifically Dr. Dalal. I highly recommend this office.Posted on Bradley DuVallTrustindex verifies that the original source of the review is Google. My neurosurgeon referred me to Dr Kneeman as there was nothing else he could do for me surgically with all the imaging was not showing anything that was causing my issues. My 1st visit with Dr Kneeman was very comforting, he listened to me, and was in no rush to get out of the room like my previous 2 pain management Drs were. And he listened to me when I had told him about my GP had given me trigger spot injection and stopped the pain for maybe 2 days. He asked me to point to where that injection was given. He said that's your SI Joint! So we made an appointment for injections under xray guidance into that joint. Worked wonders, so we did the other side also later. They lasted about 2 months, and had to wait 3 months before I could have another one. Which I did! Each one lasted a shorter amount of time, so he talked to me about having a SI Joint fusion. I was reluctant after going through a L3,4,5 fusion and the pain that went with it and the recovery time. But he explained that this is a much easier surgery to recover from and it is done out patient! I had the surgery done, and I was able to walk to the car afterwards, now I will say it was pretty spicy by the time I got home 80 miles away. But I could move around the house using 2 canes, next day down to 1 cane, and by day 4 I was doing stairs. There was stiffness that took close to 3 months to totally get worked out. But I just had my 90 day visit and I am able to stand and cook dinner and wash the dishes now, walk short distances again, not all of my pain was from this SI joint obviously as this was may 4th surgery. And this pain had set in after my fusion. Which after some research i found it is common for the SI joints to fail after lumbar fusions. If I had to give a number I would say 65% of the pain on that side was gotten rid of. My symptoms mimicked Sciatica, pain sleeping on my side, hip pain, leg pain, setting pain, standing pain.Posted on Julie HildTrustindex verifies that the original source of the review is Google. I have been to Dr. Jacob Kneeman's office 3 times now and he has the most nicest, friendliest staff at a doctors office that I have ever been to. Dr. Kneeman is a fantastic doctor, he listens to what you have to say and gives his recommendation on what should be done. I appreciate people like him for what they do! Thank You!Posted on Valerie MooreTrustindex verifies that the original source of the review is Google. Have had two injections for my back pain and I’m feeling so much better. Thankfully was able to go on vacation and enjoy myself without much pain. The staff here care about you. They are thorough and answer all your questions and concerns. I love the fact that right next door to the clinic is the actual surgery center. Makes it super convenient.Posted on Amy AdamsTrustindex verifies that the original source of the review is Google. I saw Dr. Dalal for a steroid injection due to lower back pain. She was very informative and made me feel very comfortable. I am so grateful for the relief and her professionalism. Highly recommend Dr. Dalal to anyone needing to be seen for chronic pain!Posted on JodyTrustindex verifies that the original source of the review is Google. He is an amazing doctor! He’s helped my husband so much, he’s up to date on the latest procedures! Great listener of his patients eedsPosted on Paul PotterTrustindex verifies that the original source of the review is Google. The Pain Management Team @ Kansas Pain Management are Top Tier, Awesome Care and Treatment before, during and after appointment. Highly recommend this team for anyone suffering with chronic pain!!!
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Google Reviews
Posted on JT's Carpet CleaningTrustindex verifies that the original source of the review is Google. Dr kneeman was very professional and explained everything, and extremely good looking thanksPosted on Vincent JerkovichTrustindex verifies that the original source of the review is Google. I highly recommend Dr. Dalal and her staff. They really helped to resolve my back pain!Posted on Marty MarcotteTrustindex verifies that the original source of the review is Google. I was experiencing a lot of back pain and got an appointment very quickly. I saw Dr. Dalal and she immediately determined a plan. I have had both cortisone shots and nerve ablation. I am so much better and I owe it all to the attention and great treatment from Kansas Pain Management, specifically Dr. Dalal. I highly recommend this office.Posted on Bradley DuVallTrustindex verifies that the original source of the review is Google. My neurosurgeon referred me to Dr Kneeman as there was nothing else he could do for me surgically with all the imaging was not showing anything that was causing my issues. My 1st visit with Dr Kneeman was very comforting, he listened to me, and was in no rush to get out of the room like my previous 2 pain management Drs were. And he listened to me when I had told him about my GP had given me trigger spot injection and stopped the pain for maybe 2 days. He asked me to point to where that injection was given. He said that's your SI Joint! So we made an appointment for injections under xray guidance into that joint. Worked wonders, so we did the other side also later. They lasted about 2 months, and had to wait 3 months before I could have another one. Which I did! Each one lasted a shorter amount of time, so he talked to me about having a SI Joint fusion. I was reluctant after going through a L3,4,5 fusion and the pain that went with it and the recovery time. But he explained that this is a much easier surgery to recover from and it is done out patient! I had the surgery done, and I was able to walk to the car afterwards, now I will say it was pretty spicy by the time I got home 80 miles away. But I could move around the house using 2 canes, next day down to 1 cane, and by day 4 I was doing stairs. There was stiffness that took close to 3 months to totally get worked out. But I just had my 90 day visit and I am able to stand and cook dinner and wash the dishes now, walk short distances again, not all of my pain was from this SI joint obviously as this was may 4th surgery. And this pain had set in after my fusion. Which after some research i found it is common for the SI joints to fail after lumbar fusions. If I had to give a number I would say 65% of the pain on that side was gotten rid of. My symptoms mimicked Sciatica, pain sleeping on my side, hip pain, leg pain, setting pain, standing pain.Posted on Julie HildTrustindex verifies that the original source of the review is Google. I have been to Dr. Jacob Kneeman's office 3 times now and he has the most nicest, friendliest staff at a doctors office that I have ever been to. Dr. Kneeman is a fantastic doctor, he listens to what you have to say and gives his recommendation on what should be done. I appreciate people like him for what they do! Thank You!Posted on Valerie MooreTrustindex verifies that the original source of the review is Google. Have had two injections for my back pain and I’m feeling so much better. Thankfully was able to go on vacation and enjoy myself without much pain. The staff here care about you. They are thorough and answer all your questions and concerns. I love the fact that right next door to the clinic is the actual surgery center. Makes it super convenient.Posted on Amy AdamsTrustindex verifies that the original source of the review is Google. I saw Dr. Dalal for a steroid injection due to lower back pain. She was very informative and made me feel very comfortable. I am so grateful for the relief and her professionalism. Highly recommend Dr. Dalal to anyone needing to be seen for chronic pain!Posted on JodyTrustindex verifies that the original source of the review is Google. He is an amazing doctor! He’s helped my husband so much, he’s up to date on the latest procedures! Great listener of his patients eedsPosted on Paul PotterTrustindex verifies that the original source of the review is Google. The Pain Management Team @ Kansas Pain Management are Top Tier, Awesome Care and Treatment before, during and after appointment. Highly recommend this team for anyone suffering with chronic pain!!!