Adjacent Segment Disease

Adjacent Segment Disease (ASD) is a condition that can develop after spinal fusion surgery, where the discs and vertebrae adjacent to the fused segment experience accelerated degeneration. In our series of blogs, we explore the underlying causes, symptoms, and advanced treatment options for ASD, providing valuable insights for patients and healthcare professionals seeking to understand and manage this complex condition.

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MIS, the Minuteman, and Fusion: Is This a Good Idea?

I cruised around on Linkedin this morning and chanced upon a discussion where someone had fused a patient for a herniated disc. This raised a critical point regarding fusion and the new trend for interventional pain management (IPM) physicians to fuse patients using “MIS.” Let’s review that idea through one specific device that IPM physicians…read more

The Artificial Disc Replacement Hustle

Medicine is often more about marketing than reality. One area where masterful marketing has overtaken reality is the promise of an artificial disc. Let’s explore the hype and the reality today. The Promise of the ADR Both fusion and disc replacement surgery are performed in patients with DDD (Degenerative Disc Disease). DDD is when the…read more

ANOTHER Study Shows Fusion Is an Expensive Tip

What if a very invasive spine procedure became common to treat degenerative disease despite a high complication rate and multiple studies showing it was ineffective? This would make little common sense, right? However, that’s what has happened with Lumbar Fusion. Now yet another new study shows it doesn’t work. Let’s dig in. What Is DDD…read more

Why Are Interventional Pain Physicians Becoming Spine Surgeons?

We’ve all started attending in-person conferences again while some are still virtual. Having not been doing this for two years, one of the things that startled me was the number of booths selling percutaneous fusion devices to interventional pain physicians. So what’s up? Is this a good or a bad trend? What Is an Interventional…read more

What Is Cervical Medullary Syndrome?

What happens when the neck bones impinge on the upper spinal cord and brain stem? This is called Cervical Medullary Syndrome. Let’s explore what this is and why it happens. Let’s dig in. The Background Anatomy The normal upper neck anatomy is unique in that nature has built in quite a bit of space around…read more

Profiting from Amnio, Exosomes, and Umbilical Cord Products Right Up to the Wire and Beyond

With the FDA enforcement discretion period rapidly coming to a close, how are some of the bad actors responding? After investigating this, it’s a mix of retreating, garbled messages, and business as usual. In addition, like a game of telephone, the sales reps are making up all sorts of crazy stuff. Let’s dig in. The…read more

SI Joint Fusion Complications? Why Are We Doing this to Patients?

One of the biggest issues I see is how easily interventional pain physicians have been lured in by quasi-spine surgeries that they know are bad for their patients. A case in point is SI fusion. Let’s dig into SI joint fusion complications through a case posted on LinkedIn. What Is the SI Joint? The acronym…read more

Spinal Fusion Is It Worth It? More Research Says No…

A spinal fusion is a surgery that uses hardware and screws to “fix” together two or more vertebrae to make a damaged section of spine immovable. Given that this is a big surgery with many known serious side effects, a patient the other day posed this question: “Spinal fusion is it worth it?” My answer,…read more
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