AAPM&R National Grand Rounds: Spine Imaging Interpretation for the PM&R Spine Specialist-AAPM&R National Grand Rounds: Spine Imaging Interpretation for the PM&R Spine Specialist

AAPM&R National Grand Rounds: Spine Imaging Interpretation for the PM&R Spine Specialist - enduring

Video Transcription

Video Summary

In the first video, Dr. Zach McCormick from the University of Utah gives a lecture on spine imaging interpretation. He discusses when to consider different imaging modalities for low back pain, such as lumbar MRI without contrast or radiographs. Dr. McCormick also explains various pain generators and their interventional planning considerations. He emphasizes the importance of considering factors such as disc herniation location and the differentiation of synovial facet cysts from other cyst types.<br /><br />In the second video, Dr. McCormick covers lumbar spine pathologies including discogenic pain, facet cysts, compression fractures, and more. He discusses the challenges in distinguishing between annular or clinical discogenic pain and vertebrogenic dominant pain. He highlights activity-induced worsening as a characteristic of vertebrogenic pain and explains the concept of basal vertebral nerve ablation as a potential therapy. Dr. McCormick also addresses low back pain with suspected cauda equina syndrome, previous lumbar surgery, and suspected cancer, providing recommendations for appropriate imaging techniques and discussing key findings.<br /><br />Overall, Dr. McCormick's lectures provide valuable insights and guidance for interpreting spine imaging, planning interventions, and understanding various lumbar spine pathologies and their diagnostic considerations.

Keywords

spine imaging

low back pain

imaging modalities

disc herniation

synovial facet cysts

lumbar spine pathologies

facet cysts

compression fractures

vertebrogenic pain

basal vertebral nerve ablation

cauda equina syndrome