ZIP® Procedure

Minimally Invasive Spinal Fusion for Lower Back Stability

What Is the ZIP® Procedure?

The ZIP® Procedure involves the placement of a specialized implant between the spinous processes (the bony projections at the back of each vertebra) in the lower spine. The device is designed to facilitate spinal fusion by restricting motion and distributing mechanical load.

It is a minimally invasive option for patients who need spinal stability but want to avoid traditional open surgery with screws or metal hardware. It may be used as a standalone procedure or combined with decompression.

What Is the ZIP® Procedure?

The ZIP® Procedure involves the placement of a specialized implant between the spinous processes (the bony projections at the back of each vertebra) in the lower spine. The device is designed to facilitate spinal fusion by restricting motion and distributing mechanical load.

It is a minimally invasive option for patients who need spinal stability but want to avoid traditional open surgery with screws or metal hardware. It may be used as a standalone procedure or combined with decompression.

How It Works

The ZIP® implant is inserted through a small incision and positioned between two adjacent vertebrae in the lumbar spine. Here’s what to expect:

✔ Anesthesia – Usually performed under local anesthesia with light sedation.

✔ Minimally Invasive Access – A small incision is made in the lower back.

✔ Implant Insertion – The ZIP® device is placed between the spinous processes and secured with specialized instruments.

✔ Stabilization – The implant helps restrict spinal motion and support fusion by sharing the mechanical load.

✔ No Screws or Rods – Unlike traditional fusion surgery, ZIP® doesn’t require pedicle screws, which can mean fewer complications and faster recovery.

Conditions Treated with the ZIP® Procedure

This procedure is ideal for patients experiencing:



Moderate to Severe Lumbar Spinal Stenosis

Narrowing of the spinal canal causing nerve compression.



Degenerative Disc Disease (DDD)

Breakdown of discs between vertebrae leading to instability or pain.



Chronic Low Back Pain with Instability

Pain caused or worsened by movement or standing.



Post-Laminectomy Syndrome

Pain that persists after decompression surgery and requires stabilization.

Benefits of the ZIP® Procedure

The ZIP® Procedure offers a range of advantages for patients seeking spinal stabilization without the risks of traditional fusion surgery. Its minimally invasive nature allows for faster recovery and fewer complications.



Minimally Invasive

Performed through a small incision, with less trauma to surrounding tissues.



Shorter Recovery Time

Many patients return to normal activities faster than with traditional fusion.



Reduced Surgical Risk

No need for screws or rods, lowering risk of hardware-related complications.



Immediate Stabilization

The implant provides direct spinal support right after placement.



Minimally Invasive

Performed through a small incision, with less trauma to surrounding tissues.

Risks and Potential Side Effects

As with any spine procedure, there are some risks associated with the ZIP® Procedure. Fortunately, most are uncommon and manageable.



Common Side Effects

You may experience mild discomfort at the incision site, as well as temporary swelling or bruising in the lower back. These symptoms typically resolve within a few days and require minimal care.



Rare but Serious Complications

Though rare, potential complications include infection, nerve irritation, implant migration or failure, and allergic reaction to the implant materials. Your provider will thoroughly evaluate your medical history and discuss all risks before moving forward with the procedure.

Ideal Candidates for ZIP®

You may be a good candidate for the ZIP® Procedure if:



You have chronic lower back pain caused by spinal instability.



You’ve been diagnosed with lumbar spinal stenosis or degenerative disc disease.



Conservative treatments have failed to provide lasting relief.



You’re looking for a less invasive alternative to traditional spinal fusion surgery.

Care That’s Close to Home

We offer care from two convenient clinic locations, making it easy to access expert medical support close to home.

Each facility is designed to provide a welcoming, safe, and efficient environment equipped with advanced technology and supported by a compassionate team dedicated to your well being.



Tualatin Clinic



Newberg Clinic

Care That’s Close to Home

We offer care from two convenient clinic locations, making it easy to access expert medical support close to home.

Each facility is designed to provide a welcoming, safe, and efficient environment equipped with advanced technology and supported by a compassionate team dedicated to your well being.



Tualatin Clinic



Newberg Clinic

Why Choose Spinal Diagnostics?

Patients choose Spinal Diagnostics for our comprehensive approach, accurate diagnostics, and compassionate care. We stay at the forefront of interventional procedures and are committed to improving your quality of life—without opioids or invasive surgeries.