A. Orlando Ortiz MD, MBA, Presenter: Nothing to Disclose

Bassem Adeeb Georgy MD, MSc, Presenter: Consultant, Johnson & Johnson Consultant, DFINE, Inc Medical Advisory Board, SpineAlign Medical, Inc Stockholder, DFINE, Inc Stockholder, SpineAlign Medical, Inc Stockholder, Spine Solutions, Inc

Allan L. Brook MD, Presenter: Advisor, Johnson & Johnson Advisor, Medtronic, Inc

Afshin Gangi MD, PhD, Presenter: Proctor, Galil Medical Ltd

Todd Stuart Miller MD, Presenter: Nothing to Disclose

Sudhir Kathuria, Presenter: Research Grant, Toshiba Corporation Research Grant, Siemens AG

1) Discuss appropriate algorithms for patient selection. 2) Review anatomic and technical considerations for vertebral augmentation. 3) Present an update of the recent advances in vertebral augmentation including sacroplasty. 4) Emphasize safety issues and how to avoid complications. 5) Understand the applications of vertebral augmentation in osteoporotic and neoplastic spine pathology. 6) Update participants with respect to advances in equipment and biomaterials.

1. Patient selection for vertebral augmentation Indications and Contraindications 2. New devices and techniques in vertebral augmentation 3. Vertebral augmentation for osteoporotic and pathologic vertebral compression fractures 4. Sacroplasty (sacral augmentation) 5. Complications avoidance 6. Efficacy Vertebral augmentation is an image-guided (fluoroscopy or CT) percutaneous procedure in which a bone needle is inserted into a painful osteoporotic or pathologic fracture within the spinal axis. Biopsy, cavity creation or lesion ablation may then be performed under imaging guidance depending on the nature of the pathology that is being treated. Subsequently a radioopaque implant, usually an acrylic bone cement, is carefully injected into the vertebra or sacral ala under imagining guidance, These procedures have been shown to provide pain relief by stabilizing the fractured vertebra or sacrum. As with any other invasive procedure, they carry a small risk (<<1%) of complication including bleeding, infection, neurovacular injury, or cement embolus. Appropriate patient seleciton and a detailed understanding of the technical aspects of the procedure along with active clinical patient follow-up are paramount to a successful outcome. This workshop will utilize short lectures, case examples and interactive audience participation in order to further explore critical topics in vertebral augmentation.

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Ortiz, A, Georgy, B, Brook, A, Gangi, A, Miller, T, Kathuria, S, Vertebral Augmentation (How-to Workshop).  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/4426453.html