In this episode of the Back Table MSK podcast, Dr. Jacob Fleming and Dr. Douglas Beall dive into the intricacies of sacroplasty, including considerations for selecting cement volume, efficacy of small versus large needles, and biomechanics of the pelvis.

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Stryker Interventional Spine

https://www.strykerivs.com

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SYNPOSIS

The doctors review evidence from the SAKOS trial on pain relief and highlight the complexities of billing. They also emphasize proactive treatments for aging populations suffering from fractures and the need for more training and propagation of sacroplasty techniques. Listeners are encouraged to stay informed about new educational opportunities and advancements in sacroplasty through ongoing updates and courses.

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TIMESTAMPS

00:00 - Introduction

02:33 - Expanding Sacroplasty Training and Curriculum

04:50 - Walkthrough of Sacroplasty Technique

10:36 - Mechanical Stabilization and Cement Volume

21:41 - Choosing Hardware and Needle Size

27:37 - Industry-Sponsored Trials and Bias

32:47 - Navigating Billing and Reimbursement

38:05 - Closing Thoughts on Sacroplasty and Osteoporotic Fractures

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RESOURCES

BackTable VI Ep. 51- Sacroplasty: Principles & New Data in the Treatment of Sacral Insufficiency Fractures:

https://www.backtable.com/shows/msk/podcasts/51/sacroplasty-i-principles-new-data-in-the-treatment-of-sacral-insufficiency-fractures

Seattle Science Foundation Annual Image Guided Interventional Spine Procedures Course:

https://ssf.cloud-cme.com/course/courseoverview?P=5&EID=1149

Dr. Doug Beall’s Twitter: @dougbeall

Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation:

https://www.amazon.com/Vertebral-Augmentation-Comprehensive-Vertebroplasty-Kyphoplasty/dp/1684200156

An Interim Analysis of the First 102 Patients Treated in the Prospective Vertebral Augmentation Sacroplasty Fracture Registry (Beall, 2023):

https://www.jvir.org/article/S1051-0443(23)00356-1/fulltext