Core Curriculum for Interventional Physicians: ADVANCED LUMBAR

The advanced lumbar modules are the next steps in mastering the lumbar region for all spine pain physicians. 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 lumbar modules are:

  • Anatomy, Technique, and the Evidence Base
    • Infraneural Transforaminal Epidural Steroid Injections
    • Selective Nerve Root Blocks
    • Intra-articular Facet Access
    • Multi-depth, Multi-site Lateral Sacral Blocks

  • Advanced Lumbar Anatomy: Using MRI to Plan Transforaminal Epidural Steroid Injections
  • Technique and Evidence Base: Percutaneous Lumbar Z-Joint Cyst Rupture
  • The Evidence Basis for Lumbar Transforaminal Epidural Steroid Injections
  • The Philosophical and Statistical Basis of Diagnostic Blocks
  • Risk Mitigation in Lumbar Interventional Procedures
  • The Evidence Basis Supporting the Use of Non-Particulate Steroids in Transforaminal Epidural Steroid Injections
  • Contrast Flow Patterns in Transforaminal Epidurals: Maximizing Target Specificity and Minimizing Risk

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 
Isaac Cohen, MD 
Nothing to disclose

Felix E. Diehn, MD 
Nothing to disclose 

Michael B. Furman, MD, MS  
Nothing to disclose 

Stephen C. Johnson, MD 
Nothing to disclose

Timothy Maus, MD 
Nothing to disclose 

Zachary L. McCormick, MD 
Nothing to disclose

Ameet Nagpal, MD, MS, MEd  
Nothing to disclose

David M. Sibell, MD 
Nothing to disclose

Alison Stout, DO 
Nothing to disclose 

OTHER DISCLOSURES 
Isaac Cohen, MD 
Share Ownership: Surgical Care Affiliates LLC (ambulatory surgical center) 
Royalties: Elsevier
Speaker and Travel Reimbursement:  SIS

Felix E. Diehn, MD 
Speaker and Travel Reimbursement: SIS 

Michael B. Furman, MD, MS
Consultant: Malpractice Review for several law firms 
Royalties: Elsevier 
Grant and research support: Mesoblast/Cascade 
Any position in physician society/association: SIS 
Speaker and Travel Reimbursement: SIS

Stephen C. Johnson, MD 
Nothing to disclose

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 

Zachary L. McCormick, MD 
Any position in physician society/association: SIS 

Ameet Nagpal, MD, MS, MEd
Consultant: Texas Medical Board, Standard of Care Case Reviewer 
Speaker: Dannemiller, Inc., A Healthcare Education Company 
Any position in physician society/association: AAPM&R, SIS 

David M. Sibell, MD 
Research grant support: Boston Scientific 
Any position in physician society/association: SIS 
Speaker and Travel Reimbursement: SIS

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

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 4.25 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: 07/05/2020  
Date of Activity Expiration: 07/04/2023

Components visible upon registration.