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Suffering from back or leg pain?

Take your life back with Minuteman® 

(Minimally Invasive Interspinous Fusion) Procedure

Minuteman® For Back & Leg Pain


Indications for Use

Our primary indication for this procedure is for those patients with lumbar spinal stenosis.    These symptoms include: persistent lower back pain, stiffness in your back and legs, lower back tenderness, thigh pain and tight hamstring and buttock muscles. The following questions would help to determine if you’re a candidate for this procedure:

Does your back or leg pain worsen with prolonged standing or walking?

Does your back or leg pain improve while you are sitting?

Does leaning forward improve your pain?

The Minuteman®

The Minuteman® G5 MIS Fusion Plate for Minimally Invasive Spinal Fusion

Delivering You The Best Treatment Options


Get Answers About Your Pain Condition

Explore All Your Possible Treatment Option

Develop a Pain Treatment Plan with One of Our Dedicated Providers

The Minuteman® G5 MIS Fusion Plate is a minimally invasive device for stabilizing and fusing the thoracic, lumbar, and sacral spine, intended for use with bone graft material. It is a posterior, non-pedicle fusion device designed for the non-cervical spine (T1-S1). The innovative device achieves posterior arthrodesis by providing plate fixation to spinous processes at a single interspace.

The Minuteman® is designed for attachment to the posterior non-cervical spine at the spinous processes through bilateral fixation plates, intended for use with bone graft material placed within the device. It provides immobilization, stabilization, and fusion of spinal segments. The core threaded post allows for optimal placement, and a wide range of sizes ensures an enhanced anatomical fit. The Minuteman® is delivered sterile and individually packed.


The Minuteman Procedure For Chronic Back Pain Relief

spinal-fusionIf a patient suffers from chronic back and leg pain and has not found relief from conservative treatments, their physician may recommend a minimally invasive spinal fusion called Minuteman. 

The  Minuteman offers a less invasive alternative to traditional fusion procedures. When it comes to stabilizing the spine, the Minuteman has been shown to be comparable to screws and rods and is meant to alleviate symptoms of back and leg pain. 

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The Minuteman Procedure For Chronic Back Pain Relief

Here is how the Minuteman System works

During the procedure, a 1-inch incision is made on the side of your body, dilation is used to access the spine, and the Minuteman® is implanted with bone graft material. The lateral approach does not require dissection or stripping of the sensitive back muscles, bones, or nerves. This advantageous approach may lead to a shorter operative time, less blood loss, reduced hospital stay, and a faster recovery time.

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The Minuteman Procedure For Chronic Back Pain Relief

Overview & Procedure 

spinal-fusionA Minuteman procedure is performed in an outpatient surgery center or hospital. 

During this procedure,  a 1-inch incision is made on the low back. A dilation system is used to access the spine, and the  Minuteman is implanted between the spinous process with bone graft. 

The advantages of this approach are that it does not require dissection or retraction of the sensitive back muscles, bones, or nerves. This may lead to a shorter operative time, less blood loss, reduced hospital stay(s), and a faster recovery time.

After Care 

Minuteman-ProcedureImmediately after the procedure, patients are sent to a separate room to recover. During this time, the patient’s vitals are monitored for any signs of an adverse reaction. Later that day, the patient will go home after they are given self-care instructions. 

An adult family member or friend will need to drive the patient home. 

Before leaving the clinic: patients are checked to be sure they have recovered from the anesthesia and are healthy enough to go home. 

A prescription for pain medication or other medications will be sent to the pharmacy following the procedure to be filled right away. 

A back brace may be recommended. 

Complications from this procedure are rare but may include fever, infection, bleeding, increased pain, or leg weakness. 

If the patient experiences these symptoms, they should report to Bay State Pain Associates. If it is after hours, they should report to the ER. 

Causes of Back and Leg Pain:

Back and leg pain can be caused by various factors, and while the information provided focuses on one potential cause, it's essential to note that different individuals may experience pain for different reasons. Some common causes of back and leg pain include:

Anatomical Problem Lumbar Spinal Stenosis, Spondylolisthesis, Degenerative Disc Disease

Spinal Stenosis:

The narrowing of the spinal canal can put pressure on the nerves, resulting in pain, numbness, and weakness in the back and legs.


This occurs when one vertebra slips forward over another, potentially pinching nerves and causing back and leg pain.


The degeneration of the cartilage between the joints in the spine can lead to pain and stiffness. Bone spurs may also develop, affecting nerves and causing pain.

Herniated Disc:

The discs between the vertebrae can rupture or bulge, pressing on nerves and causing pain that may radiate down the leg. This condition is often referred to as sciatica.

Muscle Strain or Sprain:

Overuse or improper use of the back muscles can lead to strains or sprains, causing pain. This can happen due to lifting heavy objects, sudden movements, or poor posture.

Infections and Tumors:

Infections or tumors in the spine can cause pain, although they are less common causes.

Inflammatory Conditions:

Conditions such as ankylosing spondylitis or rheumatoid arthritis can cause inflammation and pain in the back and legs.

Features & Benefits

Full Control Over Implant Wings

Allows the user to deploy and retract the wings intraoperatively

60° Wing Angle

Designed to provide improved biomechanical stability in response to axial rotation and lateral bending loading

Hydroxyapatite Coated Fixation Hex Nut

A substance that helps promote bone on-growth and fusion. Maximizes bone-implant contact area to promote stability and fusion.

Minimally invasive spinal fusion option

Alternative to traditional pedicle screws and other spinous process plates.

Ligament Preservation

Of the supraspinous ligament helps maintain stabilization of the spine

Threaded Body

Allows the implant to thread between the spinous processes in a controlled fashion

Sterile Packed

Promotes patient safety and compliance at hospitals

Single Piece Implant Body

Minimizes device profile without the need to remove a portion of the threaded body

Lower Profile Compared to Minuteman® G3-R

Allows the implants to be inserted down a smaller diameter sleeve from the MIS Lateral approach

Safer Zone

Lateral MIS approach is above the facet joints, avoiding the neural and vascular structures

Lateral MIS Approach

Eliminates the dissection of the healthy tissue (neural monitoring is not required)

Large Graft Window

Allows easy placement of bone graft material to facilitate a posterior fusion

5 Anatomical Sizes

(8mm, 10mm, 12mm, 14mm, and 16mm) to accommodate variations in patient anatomy

MR Conditional

The Minuteman G5 implant is considered MR Conditional. A patient may be safely scanned under very specific conditions, which may be found by visiting the MRI Safety.


Comparable to traditional screws and rods

Suitable for Disc Disease

Suitable for Lumbar Spinal Stenosis, Degenerative Disc Disease, Spondylolisthesis

Scientific Publications

Bay State Pain Associates emphasizes a streamlined approach to spinal care.

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Interspinous-Interbody Fusion via a Strictly Lateral Surgical Approach:

A Biomechanical Stabilization Comparison to Constructs Requiring Both Lateral and Posterior Approaches

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Instrumented Posterior Arthrodesis of the Lumbar Spine:

Prospective Study Evaluating Fusion Outcomes in Patients Receiving an Interspinous Fixation Device for the Treatment of Degenerative Spine Diseases

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Instrumented Posterior Arthrodesis of the Lumbar Spine:

Prospective Study Evaluating Fusion Outcomes in Patients Receiving an Interspinous Fixation Device for the Treatment of Degenerative Spine Diseases

Leading-Edge Treatments

For over 30 years, we have been committed to West Bridgewater, Ma. Our goal is to deliver our patients the most innovative and effective interventional pain management treatments.

Our physician and providers are focused on restoring your function, improving your quality of life, and getting you back to the things in your life that matter most.

Dr Sherif Algeny

Our Patients Are Our Priority

  • Our Focus is targeted, intelligent, minimally invasive pain care
  • We believe your treatment plan should be personalized for your pain journey
  • Our providers exemplify patient-centered healthcare and look forward to serving you