Fantastic work by @docroc99 & #superstar @OchsnerHealth #radiology resident Dr. Frantz highlighting the challenges health systems and providers face dealing with #MedicareAdvantage. Seems like @DOJCrimDiv (& others) R taking notice! @reh3md #jnis @ASIPP @TheASNR @SNISinfo

Tarsal Tunnel Syndrome: An Ultrasound Pictorial Review https://t.co/Qr4ehZo41p Tarsal tunnel syndrome (TTS) is an entrapment neuropathy caused by compression of the posterior tibial nerve or its branches as they pass beneath the flexor retinaculum at the medial ankle. Clinical

True innovation in spinal oncology isn’t a new tool—it’s the collective expertise of every discipline at the table. #SpineOncology #MIS #RadiationOncology #Multidisciplinary #Collaboration #MemorialHermann #MSK81

When it comes to #spinaloncology, no single specialty holds all the answers. Host Dr. @alexalevey is joined by @DrAmsbaugh & Dr. @LadorRan, both from @memorialhermann. 🎙️🎧 #innovation #multidisciplinary #treatment #tumorboard #spine #MSK81 now available: https://t.co/0GpWD72Rop

(4/4) A bit more cement and done. The main principle for treatment of hinge-fractures (DISH, ank spond) is stabilization, primarily from compressive forces. Cement from top of T9 to bottom of T10 accomplishes this. Close follow-up to ensure stability and tx add'l fractures.

(3/) After initial cement from these accesses, the air filled fracture clefts are filled, but right side T10 is bare. Osteophyte blob = 👍🏼 Old accesses removed, new right transpedicular access with standard craniocaudal angulation. Moar curette. Curette = 🐐

(2/) Release the curette!

(1/) Left parapedicular/costovertebral access to center of T10, right transpedicular access with cranial trajectory to T9-10 disc space and T9 inf endplate. T10 balloon faced pressure from the sclerotic but unhealed endplate.

Sometimes controlled extravasation is beneficial. T10 and recurrent T9 fracture s/p T8,9 kypho previously. Fracture morphology complicated by DISH. Transpedicular disc access for T9 kypho and discoplasty to consolidate osteophyte and endplate. Ugly, but effective. #disasterplasty

1. off-label device use. 2. paravertebral extrav at T6 and T7: ugly but clinically insignificant. Usually leak from a fracture line extending to the lateral cortex. Catch it, slow down, let it plug. Proceed. Same for small vein at T6.

Curved needles and cement cannulas are helpful for targeting focal fracture clefts. Small T8 superior endplate cleft after otherwise sufficient kypho at OSH was not amenable to pedicular access. Transdiscal access from above made for an easy fix.

Clumping of the nerve roots in arachnoiditis is very commonly missed even in patients like this with chronic leg pain after trauma and prior surgery. keep an eye out for abnormal distribution and clumping of nerve roots in the cauda equina.

Where does #cryoneurolysis fit in contemporary pain management? We welcome back Dr @alexalevey for more insight and expertise. #MSK80 OUT NOW! @jacobflemingmd @YaleMedicine #chronicpain #neuritis #painmanagement 🎧🎙️: https://t.co/S0ftiXYi43

Hot off the press "Common Cryoneurolysis Targets in Pain Management: Indications, Critical Anatomy, and Potential Complications". Let's spread the word on how to freeze away pain. @Yale_IR @dcmadoff @StaceyBassMD @jdprologo @bostonsci https://t.co/xMS7QjbJFU

Welcome back! 👏 Interventional neuroradiologist Dr. Kieran Murphy joins us in the studio to discuss the serious issue of #ChronicPain related to #TarlovCyst, a condition often overlooked in both diagnosis and treatment: https://t.co/suLpbGwRtR #MSK74 #InterventionalSpine

Yet more support for large volume RFA of the SI joints statistically, significantly improving patient’s pain function & quality of life out to one yr for patients suffering from SI joint dysfunction. RFA provided benefit regardless of prior standard medical mgt treatments.

From the BackTable Studio: @JoshuaAHirsch guides us through the history of vertebroplasty & kyphoplasty, early research controversies, and newer studies demonstrating clear benefits for patients with insufficiency fractures: https://t.co/NOBwz0sSgj #MSK72 @JacobFlemingMD

Today on BackTable: @YujiOkuno_OC comes on the show to discuss his groundbreaking work in #MSK embolization & new embolics on the horizon: https://t.co/nNGLRDikfe #VI520 @JacobFlemingMD @_backtableMSK

Today on BackTable: Part 3 of our Degenerative Disc Disease series is live! Dr. Olivier Clerk-Lamalice helps us explore intradiscal augmentation with biomaterials, including procedural techniques and future research https://t.co/y3rPlYgk90 #MSK69 @JacobFlemingMD

Legendary Kieran Murphy joins us in studio to complete our #ASSR2025 San Diego series. On the editing board coming soon! Subscribe to BackTableMSK on Apple or Spotify so you don’t miss #medEd