The NASS Podcast

Ask the Experts: A Lifelong Learning Series 

Adam Doan, DC, DABNM

Disclosures:

Doan, Adam: Other: Nuvasive Clinical Services (Salary); Private Investments: Veridical RCM (D).

Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President (2019-2020)); Other: NuVasive Clinical Services (Salary, employment ended May 2021); Stock Ownership: NuVasive (less than 1%).

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Ask the Experts: A Lifelong Learning Series - Safety and Teamwork in Neuromonitoring: Where Can We Improve?

Adam Doan, DC, DABNM

Disclosures:

Doan, Adam: Other: Nuvasive Clinical Services (Salary); Private Investments: Veridical RCM (D).

Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President (2019-2020)); Other: NuVasive Clinical Services (Salary, employment ended May 2021); Stock Ownership: NuVasive (less than 1%).

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Ask the Experts: A Lifelong Learning Series - The Therapeutic Value of Neuromonitoring

F. Todd Wetzel, MD

Disclosures:

Doan, Adam: Other: Nuvasive Clinical Services  (Salary); Private Investments: Veridical RCM (D).

Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President (2019-2020)); Other: NuVasive Clinical Services (Salary, employment ended May 2021); Stock Ownership: NuVasive (less than 1%).

Wetzel, F. Todd: Other: NASS (C, Paid directly to institution/employer); Stock Ownership: Relievant Medical (40,000 Shares, 1%).

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Lead Author, Chad F. Claus, DO, discusses his recent TSJ Outstanding Paper: The Effect of Ketorolac On Posterior Minimally Invasive Lumbar Spinal Fusion: An Interim Analysis from a Randomized, Double-Blinded, Placebo-Controlled Trial with Moderator Tejas Shah, MD.

Access the article here: https://www.spineline-digital.org/spineline/november_december_2021/MobilePagedReplica.action?pm=2&folio=20#pg22

Disclosures:

Claus, Chad: Nothing to Disclose

Shah, Tejas: Nothing to Disclose

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Authors Gregory Moore, MD, and Will Summers, MD, discuss their recent SpineLine article, titled "Basivertebral Nerve Ablation: Pearls and Pitfalls," with moderator Renee Rosati, DO. The article first appeared in the September/October 2021 issue of SpineLine.

Access the article here.

Disclosures:

Moore, Gregory A.: Consulting: Relievant (B), Vertos (None); Research Support (Staff and/or materials): Abbott (F, Paid directly to institution/employer), Boston Scientific (G, Paid directly to institution/employer), Relievant (D, Paid directly to institution/employer). 

Summers, Will: Nothing to Disclose

Rosati , Renee Michelle: Nothing to Disclose  

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Featuring: Ram Haddas, PhD, MBA, Yigal Samocha, MD, Bassel Diebo, MD

Aging, vestibular deficits, neurologic conditions, neuromuscular disease, peripheral neuropathies, and abnormal spinal curvatures, all predispose an individual to postural instability and may alter their balance. Currently, most spinal surgeons rely on static radiographic parameters for objective alignment and balance data alongside patient-reported outcome measures. Radiographs have often been used as an indirect measure of balance; however, as our understanding of balance has evolved the importance of postural stability has become more appreciated. Postural stability encompasses a variety of factors including alignment, sensory inputs, muscle conditioning, and response to external stimuli. Although the ability to radiographically measure balance has significantly improved, the clinical measurements, implications, and prognosis of balance and sway have remained difficult to quantify.

Disclosures:

Haddas, Ram: Consulting: Medtronic (E); Grants: Alphatec (E, Outside 12-Month Requirement, Paid directly to institution/employer), Aspen Medical Products (F, Paid directly to institution/employer), Medtronic (F, Paid directly to institution/employer), SI-BONE (F, Paid directly to institution/employer), The Cervical Spine Research Society (C, Outside 12-Month Requirement, Paid directly to institution/employer).

Samocha, Yigal : Nothing to Disclose

Diebo, Bassel G.: Nothing to Disclose

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Featuring: Ram Haddas, MD, Yigal Samocha, MD, Bassel Diebo, MD

Functional outcome measurements have been shown to be effective tools in diagnosing, planning treatments, and tracking outcomes in several subspecialties of medicine. The data produced from FOMs allows surgeons to tailor patient-specific surgical interventions, improve assessment of surgical outcomes, and expand the understanding of gait abnormalities and their impact on patient's daily lives. A comprehensive picture of functional outcome measurements, patient-reported outcome measures, and radiographic parameters is important for spine surgeons to understand and guide postoperative prognosis.

Disclosures:

Haddas, Ram: Consulting: Medtronic (E); Grants: Alphatec (E, Outside 12-Month Requirement, Paid directly to institution/employer), Aspen Medical Products (F, Paid directly to institution/employer), Medtronic (F, Paid directly to institution/employer), SI-BONE (F, Paid directly to institution/employer), The Cervical Spine Research Society (C, Outside 12-Month Requirement, Paid directly to institution/employer).

Samocha, Yigal : Nothing to Disclose  

Diebo, Bassel G.: Nothing to Disclose  

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Featuring: Joseph H. Schwab, MD, MS

Machine learning-based prediction decision support tools must necessarily evolve if patient outcomes involved. This is true in spinal metastases. The Sorg survival prediction algorithm is in perpetual states of validation and improvement.  Changes in the algorithm reflect changes in patient outcomes which has happened in a subset of patients particularly those who are sensitive to targeted immuno therapeutics.

Disclosure:

Schwab, Joseph H.: Scientific Advisory Board: Chordoma Foundation (Nonfinancial); Speaking and/or Teaching Arrangements: AO Spine (Travel Expense Reimbursement, Outside 12-Month Requirement), Stryker Spine (B, Outside 12-Month Requirement).

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Featuring: Joseph H. Schwab, MD, MS

Artificial intelligence is becoming more integrated into every day society. Wearable technology will eventually do the same. The future of wearable technology goes far beyond its current state. Eventually the wearables will interact with other devices in our environment.

Disclosure:

Schwab, Joseph H.: Scientific Advisory Board: Chordoma Foundation (Nonfinancial); Speaking and/or Teaching Arrangements: AO Spine (Travel Expense Reimbursement, Outside 12-Month Requirement), Stryker Spine (B, Outside 12-Month Requirement).

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Featuring: Ram Haddas, MD

Text neck is described as a repetitive stress injury or overuse syndrome in the neck. It is caused by prolonged use of mobile devices with the head bent down and not moving. According to recent research literature, smartphone users spend an average of two to four hours a day with their heads dropped down. This results in “700 to 1,400 hours a year of excess stress on the cervical spine. High schoolers may be most at risk, as they could spend an additional 5,000 hours per year in this position. Recently, spine providers have noticed an increase in patients with neck and upper back pain, likely related to poor posture during prolonged smartphone use. Children and adolescents may be at a higher risk and experience shoulder and arm pain, eye strain, stress, anxiety, depression and decreased school performance.

Disclosure:

Haddas, Ram: Consulting: Medtronic (E); Grants: Alphatec (E, Outside 12-Month Requirement, Paid directly to institution/employer), Aspen Medical Products (F, Paid directly to institution/employer), Medtronic (F, Paid directly to institution/employer), SI-BONE (F, Paid directly to institution/employer), The Cervical Spine Research Society (C, Outside 12-Month Requirement, Paid directly to institution/employer).

Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+