Ep. 165 Unipedicular vs. Bipedicular Approach for Kyphoplasty with Dr. Thomas Andreshak

Ep. 165 Unipedicular vs. Bipedicular Approach for Kyphoplasty with Dr. Thomas Andreshak

Interventional radiologist Michael Barraza talks with orthopedic spine surgeon Thomas Andreshak about his approach to vertebral augmentation for compression fractures, including unipedicular vs. bipedicular approach, technique pearls, and post-procedure care. --- CHECK OUT OUR SPONSOR Medtronic Kyphon https://www.medtronic.com/kyphoplasty --- SHOW NOTES In this episode, orthopedic surgeon Dr.Thomas Andreshak and our host Dr. Michael Barraza discuss kyphoplasty technique, including different methods of imaging, approaches, sedation, and follow-up. Dr. Andreshak starts with obtaining a standing X-ray because it allows him to better observe cases of spondylolisthesis. He describes both unipedicular and bipedicular approaches, noting that the unipedicular approach can allow for greater cost savings, less cement used, and lower radiation exposure. The doctors also review the stages of bone healing: hematoma formation, fibrocartilage formation, bony callus formation, and bone remodeling. Dr. Andreshak warns against overfilling the vertebra, which creates stiffness and puts stress on the adjacent endplate. Finally, they discuss follow-up and considerations for future treatment if pain persists. --- RESOURCES Consulting Orthopedic Associates: https://consulting-ortho.com/ Kyphon Assist: https://www.medtronic.com/us-en/healthcare-professionals/products/spinal-orthopaedic/vertebral-augmentation/kyphon-assist.html

Episoder(627)

Ep. 614 Interventional Radiology’s Evolution: Insights from Dr. Ernest Ring

Ep. 614 Interventional Radiology’s Evolution: Insights from Dr. Ernest Ring

Have you ever wondered what it was like to be in the room when the first pelvic embolization was performed or how the TIPS procedure was pioneered? Dr. Ernie Ring, a legendary figure from UCSF and a t...

6 Feb 50min

Ep. 613 Microwave Ablation in Renal Tumors with Dr. Steven Huang

Ep. 613 Microwave Ablation in Renal Tumors with Dr. Steven Huang

You’re about to biopsy a renal lesion; should you ablate at the same time? In this episode of the BackTable Podcast, host Michael Barraza talks with Dr. Steven Huang from MD Anderson Cancer Center abo...

3 Feb 49min

Ep. 612 Interventional Radiology in Military Medicine with Dr. John York

Ep. 612 Interventional Radiology in Military Medicine with Dr. John York

What does day-to-day interventional radiology look like in the military? Here’s a firsthand account. Dr. John York, interventional radiologist at University of California San Diego with 37 years of ac...

30 Jan 50min

Ep. 611 Challenges in Prostate Artery Embolization with Dr. Rajasekhara Ayyagari

Ep. 611 Challenges in Prostate Artery Embolization with Dr. Rajasekhara Ayyagari

Are balloon occlusion microcatheters your new best friend for prostate artery embolization (PAE)? In this episode of BackTable, Dr. Raj Ayyagari, interventional radiologist at Boston Medical Center, ...

27 Jan 46min

Ep. 610 Interventional Radiology in UAE: Current Practices with Dr. Jamal Alkoteesh

Ep. 610 Interventional Radiology in UAE: Current Practices with Dr. Jamal Alkoteesh

Have you ever considered taking a sabbatical to practice Interventional Radiology in the Middle East? In this episode, Dr. Jamal AlKoteesh, the Chairman of Clinical Imaging at SEHA and the "Godfather ...

23 Jan 35min

Ep. 609 Chronic Venous Disease Diagnosis & Management Strategies with Dr. Steven Abramowitz

Ep. 609 Chronic Venous Disease Diagnosis & Management Strategies with Dr. Steven Abramowitz

20 Jan 50min

Ep. 608 Interventional Radiology Global Survey: Training & Awareness with Dr. Justin Guan and Dr. Constantinos Sofocleous

Ep. 608 Interventional Radiology Global Survey: Training & Awareness with Dr. Justin Guan and Dr. Constantinos Sofocleous

Patient access to interventional radiology services remains highly variable worldwide, reflecting global differences in training opportunities and infrastructure. Drawing on responses from more than 1...

16 Jan 38min

Ep. 607 Interventional Radiology Coding & Compliance Essentials with Dr. David Zielske

Ep. 607 Interventional Radiology Coding & Compliance Essentials with Dr. David Zielske

Are you getting paid for the work you do? In this episode of the BackTable Podcast, interventional radiology coding expert Dr. David Zielske joins host Dr. Ally Baheti to share practical tips for bill...

13 Jan 1h 5min

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