Co-chairs: James Kang, MD; Ron N. Alkalay, PhD
The first half of the session reviews the neural and pathomechanical mechanisms thought to underlie the causes for discogenic low back pain (DLBP). Current and novel quantitative MR imaging approaches, aimed at directly interrogating these mechanisms, are discussed. The second half discusses the challenges facing contemporary surgical management of DLBP and present the clinical advantages of arthroplasty versus spine fusion in the management of DLBP. Faculty also address the important debate of the advantage of motion preservation in treating DLBP.
Upon completion of the program, participants will better understand the relevant anatomy, mechanical causes and current MRI diagnostic options for DLBP and how these factors may impact appropriate management.
Agenda
Opening Remarks
James Kang, MD
Pathomechanisms of Discogenic Pain: Why Degenerating Discs Can Be Painful
Mike Groff, MD
Phenotypes of Disc Degeneration: Is Biomechanics the Cause and Can we Image its Effect?
Ron N. Alkalay, PhD
Why Surgery for Discogenic Low Back Pain is Still a Challenge
James Kang, MD
Why Spinal Fusion or Arthroplasty Still May Be a Good Option
Scott Blumenthal, MD
Concluding Remarks and Discussion
Ron N. Alkalay, PhD