Moderators: Ray Baker, MD and Zachary McCormick, MD
As the interventional spine literature evolves, so must our understanding of best practices in order to maintain an optimal balance of safety and effectiveness. This session provides a rational, evidence-based approach to four controversial issues related to the performance of interventional spine procedures.
Upon completion of this session, participants should gain strategies to:
- Determine when continuation versus discontinuation of therapeutic antiocoagulatio is most appropriate in the context of evidence-based risk stratification that is specific to each particular procedure;
- Decide if and when to order/perform a cervical transforaminal epidural steroid injection;
- Select the optimal steroid type for lumbar transforaminal epidural injection, consistent with the most recent published safety and efficacy data;
- Counsel patients about the advantages and disadvantages of epidural steroid injection versus minimally invasive microdiscectomy in the management of lumbar radicular pain.
Agenda
Introduction and Objectives
Ray M. Baker, MD and Zachary McCormick, MD
Are Patients Exposed to Greater Risk with Continuation or Discontinuation of Therapeutic Anticoagulation Prior to Interventional Spine Procedures?
Byron J. Schneider, MD
Is There a Role for Cervical Transforaminal Epidural Steroid Injection?
Matthew Smuck, MD
Particulate vs Non-Particulate Steroid in Lumbar Transforaminal Epidural Injections: What is the Optimal Balance of Safety and Efficacy in Light of the Most Recent Literature?
David J. Kennedy, MD
A Case-Based Pro/Con Debate: Epidural Steroid Injection vs Minimally Invasive Microdiscectomy
Adrian Popescu, MD and Murat Pekmezci, MD
Faculty Panel Discussion