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(649)

Ep. 588 Breast Cryoablation: Techniques, Patient Selection & Outcomes with Dr. Robert Ward

Ep. 588 Breast Cryoablation: Techniques, Patient Selection & Outcomes with Dr. Robert Ward

As breast imaging is becoming increasingly sensitive, is cryoablation the next frontier for treating small cancers or patients who are poor surgical candidates? Learn from expert Dr. Robert Ward, asso...

11 Nov 202541min

Ep. 587 Thyroid Artery Embolization: Indications & Outcomes with Dr. Juan Camacho

Ep. 587 Thyroid Artery Embolization: Indications & Outcomes with Dr. Juan Camacho

What role does thyroid artery embolization play in contemporary thyroid cancer care? Dr. Juan Camacho, an interventional radiologist from Sarasota, Florida, joins host Dr. Sabeen Dhand to discuss how ...

7 Nov 20251h 15min

Ep. 586 Bronchial Artery Embolization: Techniques, Outcomes & Complications to Avoid with Dr. Alex Lam

Ep. 586 Bronchial Artery Embolization: Techniques, Outcomes & Complications to Avoid with Dr. Alex Lam

A patient presents to the ER with hemoptysis. When is bronchial artery embolization (BAE) the right call, and what can you do to tip the odds of procedural success in your favor? In this episode of th...

4 Nov 202537min

Ep. 585 CPT Code Updates for the OBL with Dr. Goke Akinwande

Ep. 585 CPT Code Updates for the OBL with Dr. Goke Akinwande

With the annual trend of fluctuating reimbursement rates, have you been on the fence about turning your OBL into an ASC? Make sure your OBL is prepared for the surprising changes in coding coming in 2...

28 Okt 20251h 12min

Ep. 584 Middle Meningeal Artery Embolization: Procedure & Rationale with Dr. Paul Gulotta

Ep. 584 Middle Meningeal Artery Embolization: Procedure & Rationale with Dr. Paul Gulotta

Is meningeal artery embolization the key to ending the cycle of chronic subdural hematomas? In this episode of the Back Table Podcast, Dr. Paul Gullota from Ochsner Health joins host Michael Barraza ...

24 Okt 202526min

Ep. 583 Managing Type II Endoleaks: Techniques & Tools with Dr. Matthew Givens

Ep. 583 Managing Type II Endoleaks: Techniques & Tools with Dr. Matthew Givens

From longitudinal monitoring to complex interventions, type II endoleaks often require an individualized approach. In this episode of BackTable, host Dr. Sabeen Dhand welcomes Dr. Matt Givens, Chief o...

21 Okt 202559min

Ep. 582 PERT Consortium Recap: New Developments in PE with Dr. Jonathan Paul and Dr. Osman Ahmed

Ep. 582 PERT Consortium Recap: New Developments in PE with Dr. Jonathan Paul and Dr. Osman Ahmed

PERT Consortium 2025 gives interventionalists the reins to tackle even the toughest saddle pulmonary embolisms. In this episode of the BackTable Podcast, host Dr. Aaron Fritts welcomes interventional ...

17 Okt 202530min

Ep. 581 IR Physicians as Key Decision-Makers in Health Systems with Dr. Howard Chrisman

Ep. 581 IR Physicians as Key Decision-Makers in Health Systems with Dr. Howard Chrisman

From the angio suite to the boardroom, what qualities of an interventional radiologist translate into pioneering leadership? Tune in to hear from Dr. Howard Chrisman, the President and CEO of Northwes...

14 Okt 202539min

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