The Orthobullets Podcast Podiums⎪Spine⎪Interventional Spine: Which Procedures are Appropriate? Boundary of Spine Surgeon and Interventional Physician
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May 18, 2025 Farhan Siddiqi, a leading doctor and speaker at the 2025 Castell-V Spine conference, delves into the intriguing dynamic between spine surgeons and interventional pain physicians. He discusses how defining clear role boundaries is essential for effective patient care. The conversation also highlights the benefits of minimally invasive procedures, emphasizing teamwork and the importance of specialized training in enhancing outcomes. It's a fascinating exploration of how collaboration can redefine spine treatment.
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Minimally Invasive Surgery Blurs Boundaries
- Minimally invasive spine surgery has substantially lower complication rates compared to open surgery.
- This blurs the line between spine surgeons and interventional pain physicians in performing procedures.
Procedural Hammer Problem
- Pain doctors often apply the same minimally invasive technique to all diagnoses, potentially misusing their procedural 'hammer.'
- This one-size-fits-all mindset creates a significant problem in patient care.
Flawed Pain Society Guidelines
- Pain society guidelines treat different spinal stenosis types as equally responsive to treatments, ignoring anatomical nuances.
- This contradicts clinical reasoning where bony stenosis won't respond well to soft tissue-focused procedures.