The NASS Podcast

[5 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “ Does use of IONM necessarily add time to your surgery?”   The short answer is yes, but a closer look will show that it is negligible if the IONM team can work efficiently and in collaboration with the rest of the patient care team in the operating room. W...

Featuring: Joseph H. Schwab, MD, Ilya Laufer, MD, Daniel M. Sciubba, MD Disclosures: Laufer, Ilya: Consulting: BrainLab (A), DePuy Synthes (B), Globus (B), Medtronic (C), SpineWave (B). Schwab, Joseph H.: Scientific Advisory Board: Chordoma Foundation (None); Speaking and/or Teaching Arrangements: AO Spine (Travel Expense Reimbursement, Outside 12-Month Requirement), Stryker Spine (B, Outside 12-M...

Featuring: Joseph S. Butler, PhD, FRCS, Gregory D. Schroeder, MD Disclosures: Butler, Joseph S.: Nothing to Disclose   Schroeder, Gregory Douglas: Board of Directors: CSRS, Clinical Spine Surgery (Nonfinancial); Consulting: Zimmer (C), Stryker (C), Advanced Medical (C), Medtronic (C); Trips/Travel: Aospine (C). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E:...

[4 of 12] Hear Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, " What are the anesthetic recommendations for neuromonitoring in various spine surgeries and why?”   The Co-Chairs discuss when and why they recommend total intravenous anesthesia (TIVA) vs 0.5 MAC. Is Ketamine really beneficial to MEPs? Why is Pr...

Featuring: Joseph H. Schwab, MD, Ilya Laufer, MD, Daniel M. Sciubba, MD Disclosures:  Laufer, Ilya: Consulting: BrainLab (A), DePuy Synthes (B), Globus (B), Medtronic (C), SpineWave (B). Schwab, Joseph H.: Scientific Advisory Board: Chordoma Foundation (None); Speaking and/or Teaching Arrangements: AO Spine (Travel Expense Reimbursement, Outside 12-Month Requirement),  Stryker Spine (B,...

Featuring: Paul R. Gause, MD, Sandeep N. Gidvani, MD  Disclosures: Gause, Paul R.: Speaking and/or Teaching Arrangements: Medtronic (C). Gidvani, Sandeep N.: Consulting: Xenco Medical  (B), Seaspine  (None), Spinal Balance  (None), SI Bone (None), Nuvasive (None). 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- $5...

[3 of 12] Hear Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “ Why does IONM need access to my patients and their charts before and after surgery?”   It’s not uncommon for hospitals/surgeons to prohibit the IONM team from interfacing with the patient before surgery. In addition to needing informed consent, the t...

Featuring: Michael Y. Wang, MD, Michael P. Steinmetz, MD  Disclosures: Steinmetz, Michael P.: Royalties: Biomet Spine (B); Consulting: Intellirod (A), Stryker Spine (B), Globus (B); Speaking and/or Teaching Arrangements: Stryker (B); Board of Directors: AANS/CNS Section on Disorders of the Spine (Chair Exhibits Committee), Council of State Neurosurgical Societies (Vice Chair); Scientific Advi...

Featuring: Gregory L. Whitcomb, DC, F. Todd Wetzel, MD  Disclosures: Wetzel, F. Todd: Stock Ownership: Relievant Medical (<1%). Whitcomb, Gregory L.: 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+  

Diana Wiseman, MD (Public Affairs Committee Member) and Donna Lahey, RNFA, CNOR (Author) discuss the Socioeconomics & Politics article, "Drowning in Denials: The Insurance Denial & Appeal Process," which was published in the May/June 2018 issue of NASS' SpineLine magazine. Access the article here . Disclosures: Lahey, Donna M.: Speaking and/or Teaching Arrangements: NASS (B, Paid directly...

[2 of 12] Hear from Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, "Neuromonitoring in spine surgery, can't anyone cover the case?" Did you know IONM is learned through on-the-job training, licensure does not exist, and certifications are not required for the technologist in your OR? After initial training, technologi...

Featuring: Richard Vogel, PhD, DABNM, Adam Doan, DC, DABNM, Anthony K. Sestokas, PhD, DABNM  Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Sestokas, Anthony K.: Other Office: Journal Of Clinical Monitoring And Computing (Editorial board), NASS Section On Intraoperative Neuromonitoring (Member of Section on IONM), SpecialtyCare (F,...

Featuring: Eeric Truumees, MD, E. Kano Mayer, MD, John Stokes, MD, Enrique B. Pena, MD  Disclosures: Mayer, E. Kano A.: Stock Ownership: Infinite Orthopedics (less than 1%); Private Investments: Lanai Health Solutions (30%); Speaking and/or Teaching Arrangements: North America Spine Society (B); Trips/Travel: NASS (B). Pena, Enrique B.: Nothing to Disclose Stokes, John: Royalties: Genesys Ort...

Featuring: Jack Jallo, MD, PhD, FACS, Srinivas K. Prasad, MD, Joshua E. Heller, MD, MBA  Disclosures: Heller, Joshua E.: Consulting: Nuvasive (D),  Providence Medical Technology (D),  SI Bone (C). Jallo, Jack: Nothing to Disclose   Prasad, Srinivas K.: Royalties: Stryker Spine (D); Consulting: Stryker Spine (D), Globus Medical (B), SpineWave (B), Depuy-Synthes (C); Speaking and...

Dr. Vivek Mohan discusses Lumbar Spine Fusion with one of his former patients. Disclosure: Mohan, Vivek: Consulting: AIM Specialty Health (B), Baxter (B), Seaspine (C); Speaking and/or Teaching Arrangements: Providence Medical (B). 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....

Featuring: Christopher M. Bono, MD, F. Todd Wetzel, MD, William C. Watters, MD, MS Disclosures: Bono, Christopher M.: Royalties: Wolters Kluwer (A), Elsevier (B); Consulting: United Health Care (B); Other Office: The Spine Journal (D); Fellowship Support: OMEGA (D, Paid directly to institution/employer). Watters, William C.: Board of Directors: American Board Of Spine Surgery (None); Consulting: I...

[1 of 12] Hear Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “ What information is critical to communicate to the IONM team and how far in advance of surgery? ” It’s not uncommon for the IONM team to learn the details of the surgical procedure after incision, as it unfolds. This poses a number of problems. The IONM t...

Faisel Zaman, MD, Chair of the Patient Education Committee, discusses acute back pain. Disclosure: Zaman, Faisel M.: 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+

Faisel Zaman, MD, Chair of the Patient Education Committee, discusses causes and treatments for degenerative disc disease. Disclosure: Zaman, Faisel M.: 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+

Douglas Pahl, MD (Public Affairs Committee Chair), William Sullivan, MD (SpineLine Medical Editor) and Andrew Pugely, MD (Author) discuss the Value in Spine Care article, "Physician and Hospital Reputation Management: How to Navigate the Quagmire of Public Quality Rankings, Patient Satisfaction and Online Review," which was published in the March/April 2018 issue of NASS' SpineLine magazine. Acces...

Chad Patton, MD (Public Affairs Committee Chair), William Sullivan, MD (SpineLine Medical Editor) and Emily Miller, MD (Review Author) discuss the Invited Review article on "Risk Stratification and the Future of Spine Surgery," which was published in the January/February 2018 issue of NASS' SpineLine magazine. Access the article here . Disclosures: Patton, Chad M.: Speaking and/or Teaching Arrange...

Saralyn Mark, MD (iGIANT, Yale University, Georgetown University), Kimberly J. Templeton, MD (University of Kansas) and Gregory Whitcomb, DC (Medical College of Wisconsin) discuss women’s issues in spine care.   Disclosures: Mark, Saralyn: Nothing to Disclose Templeton, Kimberly J.: Nothing to Disclose  Whitcomb, Gregory L.: Nothing to Disclose  Key: A: $100-$1,000; B: $1001-$10,000...

Sigurd Berven, MD (University of California San Francisco) and Michael Y. Wang, MD, FACS (The University of Miami) discuss the practice of and future of pedicle subtraction osteotomies. Disclosures: Berven, Sigurd H.: Consulting: Innovasis (B), Medicrea (C), Medtronic (C); Fellowship Support: Globus Medical (D); Grants: AO Spine (E, Paid directly to institution/employer), Globus (D, Paid directly...

Daniel Resnick, MS, MD (Madison, WI), Eeric Truumees, MD (Austin, TX), Zoher Ghogawala, MD (Boston, MA) and Jeffrey Wang, MD (Los Angeles, CA) discuss the trends in treatment of degenerative spondylolisthesis. Disclosures: Ghogawala, Zoher: Board of Directors: Cervical Spine Research Society (Nonfinancial, Research Committee Chair, Registry Director), GN2.0-Nidus (66%), Joint Spine Section - AANS-...

Chris Steyn, MD (McMaster University) and Christina Goldstein MD, FRCSC (University of Missouri) discuss quality of life for patients with metastatic disease of the spine. Disclosures: Steyn, Chris : Nothing to Disclose   Goldstein, Christina L.: Consulting: SpineSource (B); Speaking and/or Teaching Arrangements: AOSpine North America (B); Trips/Travel: AOSpine North America (B, Paid directly...