Advanced Pain/Spine Interventions: Debate-Style-Advanced Pain/Spine Interventions: Debate-Style

Video Transcription

Video Summary

In this Advanced Pain and Spine Interventions discussion, three cases were presented and debated. The first case focused on spinal cord stimulation (SCS) versus peripheral nerve stimulation (PNS) for low back pain. Dr. Rispoli argued for SCS, highlighting its efficacy and various modalities. Dr. Karanopoulos advocated for PNS, emphasizing its targeted muscle stimulation and restoration of functional stability. The polling question showed a preference for SCS.<br /><br />The second case explored radiofrequency ablation (RFA) versus fusion for sacroiliac joint (SI joint) pain. Dr. Lin supported RFA, citing studies that demonstrate favorable outcomes and cost-effectiveness. Dr. Singh advocated for fusion, explaining its potential for higher satisfaction rates and reduced pain. The polling question indicated a preference for RFA.<br /><br />The third case involved minimally invasive lumbar decompression (MILD) versus indirect decompression via interspinous spacer for lumbar spinal stenosis. Dr. Leong presented the benefits of MILD, emphasizing its simplicity and good safety profile. Dr. Weissbein discussed the use of interspinous spacers, pointing out their ability to increase space in the foramen. The polling question reflected a divide between MILD and interspinous spacer, with a significant portion favoring neither option.<br /><br />Overall, this discussion highlighted the different treatment modalities available for advanced pain and spine interventions. The speakers presented their arguments for each approach, providing insights into the benefits, efficacy, and patient-specific considerations. The audience had the opportunity to engage in real-time polling and ask questions related to the cases.

Keywords

Advanced Pain and Spine Interventions

spinal cord stimulation

peripheral nerve stimulation

low back pain

radiofrequency ablation

fusion

sacroiliac joint pain

minimally invasive lumbar decompression

indirect decompression

lumbar spinal stenosis

interspinous spacer