ClinicalTrials.gg
RecruitingNCT03072927Updated Nov 5, 2026

MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study

An observational study in Lumbar Spinal Stenosis, sponsored by Stryker Instruments. Recruiting at 2,394 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Stryker Instruments (part of Stryker) · Observational

From the registry’s dates

  • Started Mar 2017; still recruiting 9 years 8 months later.
Updated Nov 5, 20266 sites addedGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Other
Enrollment
8,000
Ages
18 Years and older
Sex
All
01

Study summary

This prospective longitudinal study will compare incidence rates of Medicare beneficiary surgical and minimally invasive intervention post index procedure, as well as harms associated with the MILD procedure, at 24 months post-treatment with MILD, tested against a control group of similar patients that have had a comparable procedure. This study will start with patients treated with a study procedure having an index date on or after January 1, 2017, and enrollment will continue until stopped by the sponsor.

Read the detailed description

In this study the treatment group will include all patients receiving MILD, and the control group will include all patients receiving IPD for the treatment of LSS during the enrollment period. Reoperation and harms data will be studied for the MILD and IPD procedures for a 24-month follow-up period after the index procedure using Medicare claims data. This study is exempt from IRB oversight (Department of Health and Human Services regulations 45 CFR 46) and does not require prior enrollment nor patient consent. The inclusion of the study's NCT number on MILD Medicare claims is required and results in enrollment.

02

Conditions studied

  • Lumbar Spinal Stenosis

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Keywords

  • Lumbar Spinal Stenosis
  • Interspinous process decompression
  • MILD
  • Medicare
  • Medicare Advantage
03

In context

Spinal Stenosis

458 studies on the registry are indexed under Spinal Stenosis; 105 are open to participants now.

This study's planned enrollment of 8,000 is above the median of 120 across 154 observational studies indexed under Spinal Stenosis.

Browse Spinal Stenosis studies →

Lead sponsor

Stryker Instruments is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Study participants will include Medicare beneficiaries for whom claims have been submitted to the Medicare Claims database and who have been enrolled in Medicare fee-for-service or Medicare Advantage for one year prior to their index procedure and two years post index procedure.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Medicare beneficiaries receiving MILD or interspinous process decompression
  • Diagnosis of LSS with NC

Exclusion criteria

Exclusion Criteria:

  • Patients that have received a laminectomy, laminotomy, fusion, interspinous process decompression, or MILD in the lumbar region during the 12 months prior to the index date
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
8,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • MILD

    All Medicare patients treated with MILD as reported via CPT® Code 0275T or successor codes (62330/62331).

    Device: MILD

  • Interspinous Process Decompression

    All Medicare patients treated with interspinous process decompression (CPT Code 22869 or 22870, or successor code(s)) for the treatment of LSS with NC.

    Device: Interspinous Process Decompression

Interventions

  • DeviceMILD

    MILD is performed under fluoroscopic image guidance through an ipsilateral interlaminar dorsal approach to the spine. Partial decompression is performed through the removal of tissue and bone at the symptomatic level confirmed with correlated MRI and clinical findings.

  • DeviceInterspinous Process Decompression

    Interspinous Process Decompression

06

What researchers measure

Primary outcomes

  1. Rate of participants with harms associated with the index procedure

    Rate of participants with harms associated with the index procedure including, but not limited to, revisions, displacement, mechanical complications, and death. Complications will be counted if they are recorded during the index hospitalization, or any rehospitalization within 30 days of discharge.

    Time frame: 24 months

  2. Rate of surgical, minimally invasive intervention.

    Measure the rate of Medicare beneficiary surgical and minimally invasive intervention for LSS with NC post index procedure.

    Time frame: 24 months

07

Study locations

2,389 of 2,394 sites recruiting
  • Athens-Limestone Hospital
    Athens, Alabama 35611, United States
    Recruiting
    • · Contact256-233-9533
  • North Baldwin Infirmary
    Bay Minette, Alabama 36507, United States
    Recruiting
    • · Contact334-937-5521
  • Southside Pain Specialists
    Birmingham, Alabama 35205, United States
    Recruiting
    • · Contact205-332-3155
  • St Vincents Birmingham
    Birmingham, Alabama 35205, United States
    Recruiting
    • · Contact205-939-7000
  • The Univ of Alabama At Birmingham
    Birmingham, Alabama 35211, United States
    Recruiting
    • · Contact205-975-0176
  • Birmingham Surgery Center
    Birmingham, Alabama 35233, United States
    Recruiting
    • · Contact205-933-0050
  • Alabama Ortho Spine and Sports
    Birmingham, Alabama 35235, United States
    Recruiting
    • · Contact205-228-7600
  • Outpatient Services East
    Birmingham, Alabama 35235, United States
    Recruiting
    • · Contact205-838-3888
  • St Vincents One Nineteen Health and
    Birmingham, Alabama 35242, United States
    Recruiting
    • · Contact205-939-7000
  • Decatur Ambulatory Surgery Center
    Decatur, Alabama 35603, United States
    Recruiting
    • · Contact256-353-2000
  • Baldwin County Surg Ctr
    Fairhope, Alabama 36532, United States
    Recruiting
    • · Contact251-460-6100
  • Gardendale Surgical Center
    Gardendale, Alabama 35070, United States
    Recruiting
    • · Contact205-418-6021
  • Highland Medical Center
    Scottsboro, Alabama 35768, United States
    Recruiting
    • · Contact256-259-4444
  • Tuscaloosa Surgery Center
    Tuscaloosa, Alabama 35406, United States
    Recruiting
    • · Contact205-345-5500
  • AA Spine & Pain Clinic
    Anchorage, Alaska 99508, United States
    Recruiting
    • · Contact907-563-2873
  • Copper Basin Surg Ctr
    Wasilla, Alaska 99654, United States
    Recruiting
    • · Contact907-357-5300
  • Bullhead City Community Hosp
    Bullhead City, Arizona 86422, United States
    Recruiting
    • · Contact469-341-7800
  • Arizona Specialty Surgery Center
    Chandler, Arizona 85224, United States
    Recruiting
    • · Contact480-386-8400
  • Chandler Surgical Ctr PLC
    Chandler, Arizona 85224, United States
    Recruiting
    • · Contact480-591-5000
  • Advanced Pain Modalities
    Chandler, Arizona 85226, United States
    Recruiting
    • · Contact480-756-6789
  • Northern Arizona Surgicenter
    Flagstaff, Arizona 86001, United States
    Recruiting
    • · Contact928-774-2300
  • Surgery Center at Flagstaff Bone and Joint
    Flagstaff, Arizona 86001, United States
    Recruiting
    • · Contact928-440-4610
  • Mountain View Surgery Center of Gilbert
    Gilbert, Arizona 85234, United States
    Recruiting
    • · Contact480-398-8456
  • Phoenix Spine and Joint
    Gilbert, Arizona 85295, United States
    Recruiting
    • · Contact602-256-2525
  • Premier Endoscopy Surgery Center
    Gilbert, Arizona 85295, United States
    Recruiting
    • · Contact480-573-0130
  • Santan Surgery Center
    Gilbert, Arizona 85295, United States
    Recruiting
    • · Contact480-656-8600
  • Atlas Pain Spcltsts
    Glendale, Arizona 85308, United States
    Recruiting
    • · Contact602-492-9821
  • Santa Cruz Valley Regional Hospital
    Green Valley, Arizona 85614, United States
    Recruiting
    • · Contact520-393-4700
  • Havasu Surgery Center
    Lake Havasu City, Arizona 86403, United States
    Recruiting
    • · Contact928-453-4200
  • Surgery Center of Arizona
    Mesa, Arizona 85201, United States
    Recruiting
    • · Contact623-221-2289
  • Banner Surgery Center - Desert
    Mesa, Arizona 85202, United States
    Recruiting
    • · Contact480-306-6098
  • Arizona Pain Treatment Center
    Mesa, Arizona 85206, United States
    Recruiting
    • · Contact602-265-8800
  • Canyon Surgl Ctr
    Mesa, Arizona 85206, United States
    Recruiting
    • · Contact480-561-5000
  • Mesa Outpatient Treatment Ctr
    Mesa, Arizona 85206, United States
    Recruiting
    • · Contact480-272-8944
  • Rembrandt Outpatient Surgery
    Mesa, Arizona 85212, United States
    Recruiting
    • · Contact480-809-6266
  • Banner Surgery Center - Mesa
    Mesa, Arizona 85213, United States
    Recruiting
    • · Contact623-213-7407
  • Oro Valley Surgical Suites
    Oro Valley, Arizona 85704, United States
    Recruiting
    • · Contact520-462-0220
  • Banner Payson Medical Center
    Payson, Arizona 85541, United States
    Recruiting
    • · Contact928-471-3222
  • Arrowhead North Surgery Center
    Peoria, Arizona 85381, United States
    Recruiting
    • · Contact623-230-3822
  • Banner Surgery Center - Peoria
    Peoria, Arizona 85381, United States
    Recruiting
    • · Contact623-234-4766
  • Palo Verde Pain Specialists ASC
    Peoria, Arizona 85381, United States
    Recruiting
    • · Contact833-578-7246
  • Peoria Foot and Ankle Spclsts
    Peoria, Arizona 85381, United States
    Recruiting
    • · Contact623-974-0522
  • Surg Ctr of Peoria
    Peoria, Arizona 85381, United States
    Recruiting
    • · Contact623-234-4305
  • Arizona Pain Treatment Center
    Phoenix, Arizona 85006, United States
    Recruiting
    • · Contact602-265-8800
  • Banner Health Surgicenter
    Phoenix, Arizona 85006, United States
    Recruiting
    • · Contact602-258-1521
  • Banner Surgery Center - Central Phoenix
    Phoenix, Arizona 85012, United States
    Recruiting
    • · Contact602-612-4577
  • Phoenix Eye Surgical Center dba Central Phoenix Surgical Center
    Phoenix, Arizona 85012, United States
    Recruiting
    • · Contact602-612-5589
  • Banner Surg Ctr Biltmore
    Phoenix, Arizona 85016, United States
    Recruiting
    • · Contact602-281-3513
  • Advanced Spine and Pain North Valley
    Phoenix, Arizona 85023, United States
    Recruiting
    • · Contact480-573-0130
  • Optimun Surgical Center
    Phoenix, Arizona 85027, United States
    Recruiting
    • · Contact602-354-4847
  • Arizona Surgical Specialists Center
    Phoenix, Arizona 85037, United States
    Recruiting
    • · Contact623-516-8252
  • Banner Estrella Surg Ctr
    Phoenix, Arizona 85037, United States
    Recruiting
    • · Contact602-747-1510
  • JDS Surgical LLC
    Phoenix, Arizona 85037, United States
    Recruiting
    • · Contact623-742-1570
  • Summa Pain Care
    Phoenix, Arizona 85085, United States
    Recruiting
    • · Contact623-580-4357
  • Surgcenter Northern Phoenix LLC
    Phoenix, Arizona 85085, United States
    Recruiting
    • · Contact480-725-9777
  • Prescott OutPatient Surgery Center
    Prescott, Arizona 86301, United States
    Recruiting
    • · Contact928-778-9770
  • Gila Valley Procedure Center
    Safford, Arizona 85546, United States
    Recruiting
    • · Contact928-432-6369
  • South Valley Surgical Center
    San Tan Valley, Arizona 85140, United States
    Recruiting
    • · Contact480-562-5292
  • Old Town Scottsdale Surg Ctr
    Scottsdale, Arizona 85251, United States
    Recruiting
    • · Contact480-634-8554
  • Arizona Surgl Spclsts Ctr
    Scottsdale, Arizona 85255, United States
    Recruiting
    • · Contact623-516-8252
  • Surgical Centers of Arizona
    Scottsdale, Arizona 85257, United States
    Recruiting
    • · Contact000-000-0000
  • Banner Surg Ctr Desert Vista
    Scottsdale, Arizona 85258, United States
    Recruiting
    • · Contact480-576-8700
  • OrthoArizona Scottsdale Surgery Center
    Scottsdale, Arizona 85258, United States
    Recruiting
    • · Contact480-454-4211
  • Hayden Surgical Center
    Scottsdale, Arizona 85260, United States
    Recruiting
    • · Contact480-687-0919
  • Mountain View Surgery Center of Scottsdale
    Scottsdale, Arizona 85260, United States
    Recruiting
    • · Contact480-661-5232
  • North Valley Surgery Center
    Scottsdale, Arizona 85260, United States
    Recruiting
    • · Contact480-767-2100
  • Virtuous Health Centers III
    Scottsdale, Arizona 85260, United States
    Recruiting
    • · Contact480-767-2100
  • Summit Healthcare Regional Medical Center
    Show Low, Arizona 85901, United States
    Recruiting
    • · Contact928-537-4375
  • Coronado Surgery Center
    Sierra Vista, Arizona 85635, United States
    Recruiting
    • · Contact520-335-8450
  • Banner Sun City West Surgery Center, LLC
    Sun City West, Arizona 85375, United States
    Recruiting
    • · Contact623-583-5100
  • Innovative Surgery Center
    Surprise, Arizona 85374, United States
    Recruiting
    • · Contact623-535-9777
  • Arizona Pain Specialists, LLC
    Tempe, Arizona 85282, United States
    Recruiting
    • · Contact480-245-6126
  • Banner Enticare Tempe Surgery Center
    Tempe, Arizona 85282, United States
    Recruiting
    • · Contact480-534-8103
  • Laser Surgery Center-Tempe
    Tempe, Arizona 85282, United States
    Recruiting
    • · Contact602-258-7003
  • Laser Surgery Center
    Tempe, Arizona 85282, United States
    Recruiting
    • · Contact480-444-7491
  • Pinnacle Outpatient Surgl Instu
    Tempe, Arizona 85282, United States
    Recruiting
    • · Contact480-478-4812
  • Arizona Surgical Specialists Center
    Tempe, Arizona 85283, United States
    Recruiting
    • · Contact480-237-1234
  • Banner Surgery Center
    Tucson, Arizona 85711, United States
    Recruiting
    • · Contact520-867-8095
  • Pain Institute of Southern Arizona Procedure Center
    Tucson, Arizona 85712, United States
    Recruiting
    • · Contact520-318-6035
  • Tucson Med Ctr
    Tucson, Arizona 85712, United States
    Recruiting
    • · Contact602-324-5191
  • Tucson Surgery Center
    Tucson, Arizona 85712, United States
    Recruiting
    • · Contact520-731-5500
  • Wyatt Surg Ctr
    Tucson, Arizona 85712, United States
    Recruiting
    • · Contact334-314-6079
  • Banner University Medical Center South
    Tucson, Arizona 85713, United States
    Recruiting
    • · Contact520-874-2000
  • Banner - University Medical Center Tucson
    Tucson, Arizona 85719, United States
    Recruiting
    • · Contact520-999-8509
  • Southern Arizona Va Health Care Sys
    Tucson, Arizona 85723, United States
    Recruiting
    • · Contact520-792-1450
  • Tucson Med Ctr Rincon
    Tucson, Arizona 85747, United States
    Recruiting
    • · Contact520-324-1727
  • White River Med Ctr
    Batesville, Arkansas 72501, United States
    Recruiting
    • · Contact870-793-1200
  • Physicians Surgery Center
    Blytheville, Arkansas 72315, United States
    Recruiting
    • · Contact870-762-1590
  • Conway Ambulatory Surgery Center
    Conway, Arkansas 72034, United States
    Recruiting
  • Fairbanks Memorial Hospital
    Fairbanks, Arkansas 99701, United States
    Recruiting
    • · Contact907-458-5477
  • Northwest Health Physicians' Specialty Hospital
    Fayetteville, Arkansas 72703, United States
    Recruiting
    • · Contact479-571-7070
  • Surgcenter of Fayetteville
    Fayetteville, Arkansas 72703, United States
    Recruiting
    • · Contact479-439-4959
  • North Arkansas Med Ctr
    Harrison, Arkansas 72601, United States
    Recruiting
    • · Contact704-948-5700
  • Advanced Interventional Pain Surg
    Hot Springs, Arkansas 71901, United States
    Recruiting
    • · Contact501-321-4292
  • Interventional Pain Management Center
    Jonesboro, Arkansas 72401, United States
    Recruiting
    • · Contact870-932-0399
  • Jonesboro Ambulatory Surgery Center, LLC
    Jonesboro, Arkansas 72401, United States
    Recruiting
    • · Contact870-351-6041
  • Nea Baptist Memorial Hosp
    Jonesboro, Arkansas 72401, United States
    Recruiting
    • · Contact901-227-7744
  • Outpatient Surgery Center of Jonesboro
    Jonesboro, Arkansas 72401, United States
    Recruiting
    • · Contact870-935-8500
  • Pain Treatment Ctrs of America
    Jonesboro, Arkansas 72401, United States
    Recruiting
    • · Contact501-773-6993
  • NEA Baptist Clinic
    Jonesboro, Arkansas 72405, United States
    Recruiting
    • · Contact870-936-1000

Showing the first 100 of 2,394 sites. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Staats PS, Hagedorn JM, Reece DE, Strand NH, Poree L. Percutaneous image-guided lumbar decompression and interspinous spacers for the treatment of lumbar spinal stenosis: A 2-year Medicare Claims Benchmark Study. Pain Pract. 2023 Sep;23(7):776-784. doi: 10.1111/papr.13256. Epub 2023 May 30. PubMed 37254613 ↗

Related links

Individual participant data

Plan to share: No

09

Timeline

5 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2017 (actual). Primary completion is estimated for Dec 2026, 117 months after the start.

Of 78 observational studies under Spinal Stenosis, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 84. This study's planned 117 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 18, 2017
First posted
Mar 7, 2017
StartActual
Mar 10, 2017
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Nov 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
6 sites added
Show 6 added (6 United States)
  • Arizona Pain Treatment Center · Mesa, United States
  • Arizona Pain Treatment Center · Phoenix, United States
  • Surgery Center of Arizona · Mesa, United States
  • St. Luke's Warren Hospital · Phillipsburg, United States
  • Canton ASC · Canton, United States
  • Parrish Medical Center · Titusville, United States
across 5 updates, Sep 30, 2026 – Nov 5, 2026
Show all 5 updates
  1. Nov 5, 2026
    1 site added
    Show site
    • Parrish Medical Center · Titusville, United States
  2. Nov 3, 2026
    1 site added
    Show site
    • Canton ASC · Canton, United States
  3. Oct 28, 2026
    1 site added
    Show site
    • St. Luke's Warren Hospital · Phillipsburg, United States
  4. Oct 20, 2026
    1 site added
    Show site
    • Surgery Center of Arizona · Mesa, United States
  5. Sep 30, 2026
    2 sites added
    Show 2 added (2 United States)
    • Arizona Pain Treatment Center · Mesa, United States
    • Arizona Pain Treatment Center · Phoenix, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03072927
Responsible party
Sponsor
First posted
Mar 7, 2017
Start date
Mar 10, 2017
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Nov 5, 2026

Study contacts

Angie Lee
Contact
angie.lee@stryker.com
877-958-6227
Stephanie Guyon
Contact
stephanie.guyon@stryker.com

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Interested in this study?

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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