• Male or female, age 21-80 (inclusive) with at least 3 years of life expectancy

• The subject has a primary diagnosis of symptomatic lumbar degeneration with or without foraminal or recess stenosis of the lumbar spine at a single level from L1/L2 to L5/S1 confirmed by subject history and radiographic imaging (CT, MRI, X- rays) with no more than a Grade 1 (\<25% translation) spondylolisthesis. Symptomatic lumbar degeneration that may be associated with a co-morbid condition such as:

‣ Herniated nucleus pulposus

⁃ Scarring/thickening of the ligamentum flavum, annulus fibrosus, or facet joint capsule

⁃ Facet joint degeneration/osteophyte formation

⁃ Spondylosis (defined by the presence of osteophytes)

⁃ Disc degeneration and/or annular degeneration; and/or

⁃ Lumbar stenosis defined by spinal cord or nerve root compression

• Exhausted conservative treatment (e.g. bed rest, physical therapy, medications, TENS (transcutaneous electrical nerve stimulation), manipulation, and/or spinal injections) for at least 3 months or has a neurologic emergency

• Preoperative Oswestry Disability Index score ≥ 40/100 at baseline

• Psychosocially, mentally, and physically able and willing to fully comply with this protocol including adhering to follow-up schedule and requirements and filling out forms

• Signed informed consent.