Access the complete set of videos used in the SIS Bio-Skills Labs when you purchase SIS’s Lumbar and Cervical Vignettes. This is your only opportunity to learn directly from one of SIS’s founders, master interventional specialist Dr. Charles Aprill himself, as he demonstrates SIS Guidelines-based procedures on cadavers.

Lumbar Vignettes:

• Caudal Epidural Injections
• Sacroiliac Joint Injections
• S1 Transforaminal Epidural Injections
• L5/S1 Disc Access
• L5 Transforaminal Epidural Injections
• L5 Dorsal Ramus Blocks
• L4/5 Facet Joint Injections
• L4/5 Interlaminar Epidural Injections
• L4 Medial Branch Blocks
• L3/4 Disc Access
• L3 Transforaminal Epidural Injections

Cervical Vignettes:

• C7/T1 Facet Joint Injections
• C7/T1 Interlaminar Epidural Injections
• C7 Medial Branch Blocks
• C7 Sympathetic Blocks
• C6/7 and C5/6 Transforaminal Epidural Injections
• C6/7, C5/6, and C4/5 Disc Access
• C4/5/6 Medial Branch Blocks
• C3 Medial Branch and Third Occipital Nerve Blocks
• C1/2 Lateral Atlanto-Axial Joint Injections

View a free, three-minute preview.

This 53-minute, streaming, cadaveric dissection video is intended to familiarize physicians with the anatomical location of spine structures for diagnosis and intervention. Watch Nikolai Bogduk, MD, PHD, demonstrate posterior lumbar and cervical anatomy and neuraxis under live fluoroscopy.

This video is presented to assist physicians with learning spine intervention techniques. The video contains images of cadavers, which may be disturbing to some viewers. A cornerstone of Spine Intervention Society's SpineNet online education and SIS’s in-person, hands-on Bio-Skills Lab training is to respect the dignity of donors and to honor their dedication to advancing medical science.

View a free, five-minute preview.

In this 78-minute, streaming, lumbar discography video you can watch Richard Derby, MD and Connor O’Neill, MD present an overview of the lumbar anatomy and then demonstrate oblique and lateral approaches on live patients. You will learn about the equipment, key concepts, risk factors, and follow the process from initial patient consultation and exam to the completion of the lumbar discography procedure.

View a free, five-minute preview.

Myth: A satisfactory informed consent process should include all the information that a reasonable physician believes is important to communicate.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
David C. Miller, MD and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
David C. Miller, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
David C. Miller, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/21/20
Date of Activity Expiration: 7/20/23

Myth: Ultrasound guidance is equivalent in accuracy to fluoroscopic guidance for intra-articular sacroiliac joint (SIJ) injections.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Byron J. Schneider, MD, Jaymin Patel, MD, and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Byron J. Schneider, MD
Nothing to disclose

Jaymin Patel, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
Byron J. Schneider, MD
Consultant: AIM Specialty Health, State Farm
Advisory committee: MACRA
Position on physician society/association: AAPM&R, NASS, SIS, AAP 
Travel expenses: NASS, SIS

Jaymin Patel, MD
Consultant: Professional Disability Associates

Clark C. Smith, MD, MPH
Nothing to disclose

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/21/20
Date of Activity Expiration: 7/20/23

Myth: Therapeutic anticoagulation (AC) and antiplatelet agents (APA) should be discontinued prior to lumbar medial branch blocks (LMBB) due to hemorrhagic risks of clinically significant neurological complications. 

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Adrian Popescu, MD, Mathew Saffarian, DO, Byron J. Schneider, MD, Zachary L. McCormick, MD, and Clark Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee 

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Adrian Popescu, MD
Nothing to disclose

Mathew Saffarian, DO
Nothing to disclose

Byron J. Schneider, MD
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
Adrian Popescu, MD
Consultant: IME

Mathew Saffarian, DO
Nothing to disclose

Byron J. Schneider, MD
Consultant: AIM Specialty Health, State Farm
Advisory committee: MACRA
Position in a physician society/association: AAPM&R, NASS, SIS, AAP 
Travel expenses: NASS, SIS

Zachary L. McCormick, MD
Grant and research support: Foundation of PM&R, Midwest Pain Society, SIS
Position in a physician society/association: AAPM

Clark C. Smith, MD, MPH
Nothing to disclose

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/21/20
Date of Activity Expiration: 7/20/23

Myth: Epidural and intraarticular steroid injections have no effect on the risk of contracting COVID-19 infection.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
David C. Miller, MD; Jaymin Patel, MD; Jatinder Gill, MD; Ryan Mattie, MD; Mathew Saffarian, DO; Byron J. Schneider, MD; Adrian Popescu, MD; Vivek Babaria, MD; and Zachary L. McCormick, MD on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
David C. Miller, MD
Nothing to disclose

Jaymin Patel, MD
Nothing to disclose

Jatinder Gill, MD
Nothing to disclose

Ryan Mattie, MD
Nothing to disclose

Mathew Saffarian, DO
Nothing to disclose

Byron J. Schneider, MD
Nothing to disclose

Adrian Popescu, MD
Nothing to disclose

Vivek Babaria, MD
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

OTHER DISCLOSURES
David C. Miller, MD, MA
Nothing to disclose

Jaymin Patel, MD
Consultant: Professional Disability Associates

Jatinder Gill, MD
Grant and research support: Nevro, Sollis

Ryan Mattie, MD
Nothing to disclose

Mathew Saffarian, DO
Nothing to disclose

Byron J. Schneider, MD
Consultant: AIM Specialty Health, State Farm
Advisory committee: MACRA
Position in a physician society/association: AAPM&R, NASS, SIS, AAP 
Travel Expenses: NASS, SIS

Adrian Popescu, MD
Consultant: IME

Vivek Babaria, MD
Position in physician society/association: AOGME

Zachary L. McCormick, MD
Research grant: Foundation of PM&R, Midwest Pain Society, SIS
Position in physician society/association: AAPM

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/21/20
Date of Activity Expiration: 7/20/23

Myth: Digital subtraction imaging (DSI) reliably prevents inadvertent intravascular injection during transforaminal epidural steroid injections.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Shaan Sudhakaran, MD, Zachary L. McCormick, MD, and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Shaan Sudhakaran, MD
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
Shaan Sudhakaran, MD
Nothing to disclose

Zachary L. McCormick, MD
Research grant: Foundation of PM&R, Midwest Pain Society, SIS
Position in physician society/association: AAPM

Clark C. Smith, MD, MPH
Nothing to disclose

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/21/20
Date of Activity Expiration: 7/20/23

Myth: Epidural steroid injections (ESI) increase the risk of surgical site infection in patients undergoing any subsequent lumbar spine surgery.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Jaymin Patel, MD, Mathew Saffarian, DO, Adrian Popescu, MD, Byron J. Schneider, MD, Zachary L. McCormick, MD, and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Jaymin Patel, MD
Nothing to disclose

Mathew Saffarian, DO
Nothing to disclose

Adrian Popescu, MD
Nothing to disclose

Byron J. Schneider, MD
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
Jaymin Patel, MD
Consultant: Professional Disability Associates

Mathew Saffarian, DO
Nothing to disclose

Adrian Popescu, MD
Consultant: IME

Byron J. Schneider, MD
Consultant: AIM Specialty Health, State Farm
Advisory committee: MACRA
Position in physician society/association: AAPM&R, NASS, SIS, AAP 
Travel Expenses: NASS, SIS

Zachary L. McCormick, MD
Research grant: Foundation of PM&R, Midwest Pain Society, SIS
Position in physician society/association: AAPM

Clark C. Smith, MD, MPH
Nothing to disclose

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/21/20
Date of Activity Expiration: 7/20/23

The advanced cervical modules take the learner to the next level in the cervical region. As an SIS member*, you can purchase this educational offering and dive into these topics. For an optimal learning experience, it is highly recommended that you view the videos in order.

Topics covered in the advanced cervical modules are:

• Anatomy, Technique, and the Evidence Base
  • Thoracic Transforaminal Epidural Steroid Injections
  • Lateral Atlanto-Axial Joint (C1-C2) Access
  • Medial Branch Blocks C3-6 Posterior Needle Approach
  • C7 Medial Branch Block Posterior Needle Approach
  • Third Occipital Nerve Blocks: Posterior Needle Approach
• Advanced Cervical Anatomy and Imaging:  Anatomy of the Craniocervical Junction
• Contrast Flow Patterns in Cervical Epidural Injections
• Risk Mitigation in Advanced Cervical Procedures

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material. 

*Continual membership is required to access the modules in your member profile

Educational Objectives 
Upon completion of this activity, participants should be able to:

• Analyze the imaging depiction of the relevant anatomy;
• Relate patient history and physical exam findings with imaging to achieve a likely diagnosis of the spinal pathology; causing the patient’s pain or dysfunction;
• Describe the literature support for the efficacy of the procedures;
• Identify the risks and benefits of each procedure, as well as assessment, prevention, and treatment of potential complications;
• Apply technically correct performance of the spinal procedures using safe fluoroscopic guidance with minimal tissue injury or discomfort.

Speaker Disclosure Information 

RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTEREST 
Michael B. Furman, MD, MS  
Nothing to disclose 

Brad Goodman, MD 
Nothing to disclose

Timothy Maus, MD 
Nothing to disclose

Louis C. Saeger, MD 
Nothing to disclose

Alison Stout, DO 
Nothing to disclose 

OTHER DISCLOSURES 
Michael B. Furman, MD, MS 
Service as an expert witness: Malpractice Review for several law firms 
Royalties: Elsevier 
Grant and research support: Mesoblast/Cascade 
Any position in physician society/association: SIS 
Travel Reimbursement: SIS

Brad Goodman, MD
Stock ownership or investment interest in a commercial interest: Discgenics
Royalties: Elsevier
Speaker and travel reimbursement: SIS 

Timothy Maus, MD 
Grant and research support: NIH 1R01NS100725-01A1; University of MN/Mayo Clinic Translational Product Development Fund 
Intellectual property rights: Patent Filing, Mayo Clinic Ventures 
Any position in physician society/association: SIS 
Speaker and Travel Reimbursement: Mayo Clinic; American University of Beirut,Cleveland Clinic; American Academy of Pain Medicine, Rutgers University, SIS

Louis C. Saeger, MD 
Advisory committees: Minnesota Department of Health
Grant and research support: Vivex, JoiMax
Position in physician society/association: Minnesota Society of Interventional Pain Physicians, Director at Large 
Marketing/promotional dinners: Boston Scientific, Nevro, StimWave 
Speaker: SIS 
Travel reimbursement: SIS, Boston Scientific

Alison Stout, DO 
Expert consultant: State Farm 
Position in physician society/association: NASS, SIS 

References
References are provided within the speakers presentations.

Commercial Support  
No commercial support was received for this activity.

Accreditation Statement   
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement   
SIS designates this enduring material for a maximum of 3.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 4/17/2019  
Date of Activity Expiration: 4/17/2021