BackTable Vascular & Interventional Ep. 210 Modern Vertebral Augmentation with Dr. Doug Beall
May 25, 2022
Dr. Douglas Beall, an interventional radiologist, shares his expertise on groundbreaking techniques in vertebral augmentation. He dives into screw-assisted vertebral augmentation and advanced tools like vertebral body stents and shaped balloons, all aimed at improving patient outcomes. The discussion highlights how to prevent complications, particularly cement extravasation, and the importance of precise techniques. Dr. Beall emphasizes a shift toward minimally invasive procedures for better results in treating vertebral compression fractures.
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Develop a Sixth Sense for Safety
- Experienced interventional radiologists develop a 'sixth sense' for how far to push during procedures to avoid complications.
- Understanding anatomy, materials, and complication avoidance is crucial for safe vertebral augmentation.
Screw-Assisted Vertebral Augmentation
- Screw-assisted vertebral augmentation effectively decreases vertebral motion from fractures by stabilizing all three columns.
- It offers a less invasive and highly stable treatment option compared to traditional spinal surgery with screws and rods.
Emerging Vertebral Augmentation Tech
- New technologies like shaped balloons and stronger alloys will improve vertebral augmentation's effectiveness.
- Balloons with flat surfaces better restore vertebral endplates than traditional round balloons.