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54-yr-old female w/ MVA 4 yrs ago & persistent, posterolateral upper neck pain. x-rays read as normal. AI movement analysis shows Posterior Vertical Instability Index is abnormal w/ posterior disc widening in flexion. This would be almost impossible to detect w/o the AI analysis

The answer should’ve been sacroplasty. 67yo s/p pelvic XRT, developed sacral, insufficiency fractures, tx w/ opioids, then more opioids, then L4 to ilium fusion, then pain pump + oral opioids. 5yrs later still has nonunion fxs. Should’ve had sacroplasty. Still can but w/ screws

Join me this November 6-9 for the New York/New Jersey Pain Medicine Congress. It’s always fantastic meeting full of great information and lots of fun.

It’s bad enough that delayed flights on United Airlines caused me to miss the Taiwan Neurosurgical Society meeting, but United failed to: 1. Give a reason for the flight delay (1st flight of the day inbound from Albuquerque) 2. Find other flights prior to the end of the meeting.

3. Notify us of the flight delay until after boarding time. 4. Allow a conversation with customer service in this regard until tomorrow. 5. Send me an email explaining the situation other than the flight cancellation confirmation.

6. And the whole time on the line w/ the priority desk, they were unable to do a single thing to assist the situation. All well seeming not to care one bit. Must be a tough place to work.

NY Times revisits Nobel Prize winner’s prediction AI will render radiologists obsolete radiologybusiness.com/topics/artific…

Join me on August 2 for the International Pain and Spine symposium in Milwaukee Wisconsin. Should be a great meeting!

With heavy hearts we honor the passing of Dr Gabor Racz, a trailblazer in pain management. His pioneering work & dedication to alleviating suffering touched countless lives. His incredible generosity helped me countless times. Rest in peace, legend. 🕊️ #GaborRacz #PainMedicine

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Follow up to this case, Sacroplasty was performed with 10 cc of cement on each side plus screw spanning the gapped left sided sacral alar fracture. Patient is doing much better and I will see him at two weeks then at eight weeks follow up. osteoporosis treatment is underway

No mention of an obvious vertebral compression fracture in this report. Severe height loss with signal changes are described as nonspecific, & the signal changes are described as “suggested”. Because of this nonsensical report the fracture was not known to exist #comeonman

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What I perceive, as an important manuscript on the treatment of discogenic back pain was just published in the Journal of Pain Research. You can check it out here.: dovepress.com/articles.php?a…

If most of back pain is from the anterior and middle columns, why are we doing so much posterior column intervention and no anterior column intervention?

CMS makes some of their target list based on hit pieces that are not grounded in science, the literature, or reality. check out this article w/ targets on minimally invasive lumbar decompression & vertebral augmentation, both of which have great literature support and outcomes.

Intrathecal Drug Delivery, The Need For More Options - Douglas Beall, M.D. youtu.be/-uJ4ghTIQ2c?si… via YouTube

Instead of “nonspecific” marrow changes at L4 and S2 please name the diagnoses which are a fractured L4 inferior endplate and hemangioma at S2. Describing it this way makes getting the appropriate treatment (Kyphoplasty at L4) approved difficult.