2018 Annual Meeting Slides - Controversies and Challenges of Spine Intervention

View over 1,900 slides from presentations delivered at the Spine Intervention Society’s 2018 Annual Meeting: Controversies and Challenges of Spine Intervention.

Fluoroscopic Image Interpretation

  • Introduction - Is AP View Sufficient?
  • Cervical Epidural or Spinal Cord Injection?
  • Anatomy of Epidural Space
  • Correlation of Cross-Sectional Imaging and Fluoroscopic Landmarks
  • Transforaminal ESI: Supraneural vs. Infraneural vs. SNB - Is There a Difference?
  • Epidural or Subdural?
  • Sacroiliac Joint - Variation of Fluoroscopic Approaches and Contrast Spread Patterns?

Basic Procedural Pearls: Lumbar Transforaminal Injections

FactFinders Presents: Appropriate Follow-Up After Epidural Spine Injection

Sacroiliac Joint Treatment Controversies

  • Manipulation and Physical Therapy for SIJ Pain: Is There Evidence?
  • Neuro-Anatomical Considerations for SIJ Radiofrequency Neurotomy Techniques
  • SIJ Fusion: Considerations for Best Practice

Regenerative Medicine

  • Stem Cells and the Spine
  • Bone Marrow Concentrate and Adipose Intradiscal Treatments
  • Platelet-Rich Plasma

A Critical Review of the Influential Papers of 2017

  • De Andres J, Monsalve-Dolz V, Fabregat-Cid G, Villanueva-Perez V, Harutyunyan A, Asensio-Samper JM, Sanchis-Lopez N. (2017). Prospective, Randomized Blind Effect-on-Outcome Study of Conventional vs High-Frequency Spinal Cord Stimulation in Patients with Pain and Disability Due to Failed Back Surgery Syndrome. Pain Medicine, 18(12), 2401-2421.
  • Park D. (2017) Distribution Patterns of the Vulnerable Vessels Around Cervical Nerve Roots: A Computed Tomography-Based Study. American Journal of Physical Medicine & Rehabilitation, 97(4), 242-247.
  • Cancienne JM, Werner BC, Puvanesarajah V, Hassanzadeh H, Singla A, Shen FH, Shimer AL. (2017). Does the Timing of Preoperative Epidural Steroid Injection Affect Infection Risk After ACDF or Posterior Cervical Fusion? Spine (Phila Pa 1976), 42(2), 71-77.
  • Seavey JG, Balazs GC, Steelman T, Helgeson M, Gwinn DE, Wagner SC. (2017). The Effect of Preoperative Lumbar Epidural Corticosteroid Injection on Postoperative Infection Rate in Patients Undergoing Single-level Lumbar Decompression. Spine Journal, 17(9), 1209-1214.
  • Singla A, Yang S, Werner BC, Cancienne JM, Nourbakhsh A, Shimer AL, Hassanzadeh H, Shen FH. (2017). The Impact of Preoperative Epidural Injections on Postoperative Infection in Lumbar Fusion Surgery. Journal of Neurosurgery Spine, 26(5), 645-649.
  • Lee JW, Lee E, Lee GY, Kang Y, Ahn JM, Kang HS. (2018). Epidural Steroid Injection-Related Events Requiring Hospitalisation or Emergency Room Visits Among 52,935 Procedures Performed at a Single Centre. European Radiology, 28(1), 418-427.Epub 2017 Jul 19.
  • Kennedy DJ, Zheng PZ, Smuck M, McCormick ZL, Huynh L, Schneider BJ. (2018). A Minimum of 5-year Follow-up After Lumbar Transforaminal Epidural Steroid Injections in Patients with Lumbar Radicular Pain Due to Intervertebral Disc Herniation.Spine Journal, 18(1), 29-35. Epub 2017 Sep 28.
  • Friedly JL, Comstock BA, Turner JA, Heagerty PJ, Deyo RA, Bauer Z,… Jarvik JG. (2017). Long-term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial. Archives of Physical Medicine and Rehabilitation, 98(8), 1499-1507.e2.

Basic Procedural Pearls: S1 Transforaminal Injections FactFinders Presents: Annual Limit for Corticosteroids

Top Research Abstract Presentations

  • Best Clinical Abstract: Low-pressure Lumbar Provocation Discography According to International Association for the Study of Pain/SIS Standards Does Not Cause Accelerated Progression of Disc Degeneration in Symptomatic Low Back Pain Patients; A 7 Year Matched Cohort Study
  • Best Basic Science Abstract: The Source and Course of the Articular Branches to the T4-T8 Zygapophysial Joint
  • Best Resident Abstract: A Prospective Randomized Trial of Prognostic Genicular Nerve Blocks to Determine the Predictive Value for the Outcome of Cooled Radiofrequency Ablation for Chronic Knee Pain Due to Osteoarthritis
  • Best Fellow Abstract: Prognostic Imaging Features in Acute Lumbosacral Radiculopathy with Motor Deficits

Radiofrequency Neurotomy: Review of the Literature and Controversies

  • Critique of the MINT Trials
  • Review of Lumbar Radiofrequency
  • Radiofrequency Lesion Size
  • Radiofrequency of the Knee

Basic Procedural Pearls: The Third Occipital Nerve

FactFinders Presents: Safety Issues with Ultrasound-Guided Cervical Injections

Ultrasound vs. Fluoroscopy

  • Orphan Procedures
  • Lumbosacral Procedures
  • Cervical Procedures

Kyphoplasty/Vertebroplasty Pro/Con Debate

  • Pro: They Work! Our Patients Need Them
  • Con: Not on My Watch! They Don’t Work Better Than Sham Procedures

Discography: Past, Present, and Future

  • Discography Introduction
  • Value and Safety of Provocation Discography
  • Practical Considerations in Lumbar Discography
  • Practical Considerations in Cervical Discography

Basic Procedural Pearls: Cervical Interlaminar Injections

FactFinders Presents:Preventing External Burns During Thermal RF

Informed Consent: A Form or a Conversation?

  • Patient Safety Implications of Informed Consent
  • Legal Importance of Informed Consent

What Is That? Puzzles in Lumbar Imaging What Is That? Puzzles in Cervical Imaging

CPT/RUC: You Either Have a Seat at the Table or You’re on the Menu

  • CPT Committee Process
  • RUC Committee Process

Emerging Technologies

  • Basivertebral Nerve Ablation
  • Endoscopic Lumbar Medial Branch Neurotomy
  • Focused Ultrasound

Research Abstract Podium Presentations

  • Two-Year Outcomes of Patients Treated with Basivertebral Nerve Ablation for the Relief of Chronic Low Back Pain: Results of the SMART Trial
  • A Randomized Prospective Comparative Trial of Water-Cooled Versus Traditional Radiofrequency Ablation of the Medial Branch Nerve in the Treatment of Zygapophyseal Joint Pain: 6-month Outcomes
  • A Retrospective Cohort Study on Healthcare Utilization and Opioid Use Following Radiofrequency Ablation for Chronic Axial Spine Pain in Ontario, Canada
  • Ultrasound-Guided Sacroiliac Joint Radiofrequency Ablation: Evaluation of Clinical Outcomes
  • The Risk of Continuing Medications with Anti-platelet or Anti-coagulant Effect During Select Spine Interventions: A Cohort of 276 Injections
  • The Risks of Continuing or Discontinuing Anticoagulants in Diverse Interventional Pain Procedures
  • What Does It Feel Like to Go Through an Interventional Pain Management Program? Qualitative Interview Study

Challenges in Opioid Management

  • Opioid-induced Hyperalgesia and Clinical Implications
  • The Current State of the Opioid Epidemic and the Role of Alternative Therapies, Including Interventional Pain Medicine

Things I Would Have Done Differently

  • A Failed Review of Systems
  • Be Hip about the Hip
  • Sex and Drugs


  • Peripheral Nerve Stimulation - Why the Recent Resurgence in Interest?
  • Chronic Low Back Pain and Neuromodulation: Are We There Yet?
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