Spine and Pain: Cervical and Thoracic Update

This course features highlights from the Baptist Health Spine Symposium and the Miami Neuroscience Institute Symposium which includes short, goal-directed lectures from experts across multiple subspecialties. 

Topics include:

  • Cervical Radiculopathy and EMG
  • Diagnosis of Cervical Facet Pain
  • Evaluation of Cervical Radiculopathy
  • Evaluation of Thoracic Pain
  • Neck Pain in the Postsurgical Patient
  • Spinal Cord Stimulation for the Cervical Spine
  • Stereotactic Body Radiation Therapy for Spinal Malignancies
  • Suspected Lumbar Radiculopathy: Pearls From the Clinical Exam


 

Target Audience

Adult and pediatric neurologists, neurosurgeons, stroke neurologists, neuroradiologists, diagnostic radiologists, critical care physicians, neurointensivists, emergency medicine physicians, internal medicine physicians, interventional neuroradiologists, primary care and family medicine physicians, general internists, neuropsychologists, nurses, nurse practitioners, rehabilitation and pain management specialists, integrative medicine physicians, pharmacists, pharmacy techinicans, respiratory therapists (direct delivery) and all other healthcare professionals interested in the treatment of common spinal disorders, as well as other specialists interested in the field of neuroscience.

Learning Objectives

  • Recognize red flags that guide expert evaluation and medical management for patients with spine complaints.
  • Review evidence-based, peer-reviewed publications from the last 18 months regarding the diagnosis and medical management of common spinal conditions.
  • Define stereotactic body radiation therapy (SBRT) and how it differs from conventional external beam radiation therapy.
  • Describe the roles of SBRT, surgery, and hybrid therapy.
  • Highlight current literature and future directions of therapy. 
  • Recognize the clinical aspects of lumbar radiculopathy.
  • Discuss the most common levels of radiculopathy.
  • Review common tests for each radicular level.
  • Identify common neural tension tests and limitations, and distinguish one level from another, including imaging.
Additional information
Bibliography: 
  • Li, J. M., & Tavee, J. (2019). Electrodiagnosis of radiculopathy. Handbook of Clinical Neurology, 161, 305-316.
  • Borrella-Andrés, S., Marqués-García, I., Lucha-López, M. O., Fanlo-Mazas, P., Hernández-Secorún, M., Pérez-Bellmunt, A., ... & Hidalgo-García, C. (2021). Manual therapy as a management of cervical radiculopathy: a systematic review. BioMed Research International, 2021, 1-15.
  • Hurley, R. W., Adams, M. C., Barad, M., Bhaskar, A., Bhatia, A., Chadwick, A., ... & Cohen, S. P. (2021). Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group. Pain Medicine, 22(11), 2443-2524.
  • Nevalainen, M. T., Foran, P. J., Roedl, J. B., Zoga, A. C., & Morrison, W. B. (2016). Cervical facet oedema: prevalence, correlation to symptoms, and follow-up imaging. Clinical Radiology, 71(6), 570-575.
  • Luyao H., Xiaoxiao Y., Tainxiao F. Management of cervical spondylotic radiculopathy: A systematic review. Global Spine Journal. 2022; 12(8);1912-1924
  • Borton, Z. M., Oakley, B. J., Clamp, J. A., Birch, N. C., & Bateman, A. H. (2022). Cervical transforaminal epidural steroid injections for radicular pain: a systematic review. The Bone & Joint Journal, 104(5), 567-574.
  • Sherrod, B. A., Michalopoulos, G. D., Mulvaney, G., Agarwal, N., Chan, A. K., Asher, A. L., ... & Bisson, E. F. (2022). Development of new postoperative neck pain at 12 and 24 months after surgery for cervical spondylotic myelopathy: a Quality Outcomes Database study. Journal of Neurosurgery: Spine, 1(aop), 1-9.
  • Denis, D. J., Niu, T., Champagne, P. O., & Lu, D. C. (2019). Laminoplasty for cervical spinal cord stimulator implantation in patients with cervical spondylosis and fusion: a technical note. Ochsner Journal, 19(1), 38-42.
  • Rothrock, R. J., Barzilai, O., Reiner, A. S., Lis, E., Schmitt, A. M., Higginson, D. S., ... & Laufer, I. (2021). Survival trends after surgery for spinal metastatic tumors: 20-year cancer center experience. Neurosurgery, 88(2), 402.
  • Zelefsky, M. J., Yamada, Y., Greco, C., Lis, E., Schöder, H., Lobaugh, S., ... & Fuks, Z. (2021). Phase 3 multi-center, prospective, randomized trial comparing single-dose 24 Gy radiation therapy to a 3-fraction SBRT regimen in the treatment of oligometastatic cancer. International Journal of Radiation Oncology* Biology* Physics, 110(3), 672-679.
     
Course Summary
Available credit: 
  • 1.75 ABS MOC II
  • 1.75 AMA PRA Category 1 Credit™
  • 1.75 General certificate of attendance
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.75 Florida Board of Pharmacy
  • 1.50 Florida Board of Respiratory Therapy
Course opens: 
05/01/2023
Course expires: 
04/30/2025
Cost:
$9.95

Robert J. Rothrock, M.D. 
Spinal Neurosurgeon and Director, Spinal Oncology
Miami Neuroscience Institute 
Baptist Health Quality Network
Baptist and South Miami Hospitals
Assistant Professor, Neurosurgery
Florida International University Herbert Wertheim College of Medicine 
Miami, Florida

Melissa M. Guanche, M.D. 
Director, Interventional Spine
Pain Medicine, Physical Medicine and Rehabilitation
Miami Neuroscience Institute Spine Center
Baptist Health Surgery Center at Kendall and South Miami
Baptist and South Miami Hospitals
Miami, Florida

Akshay Goyal, M.D. 
Anesthesiology, Pain Medicine
Miami Neuroscience Institute
Baptist Health Medical Group
Baptist Health Quality Network
Miami, Florida

Eduardo Icaza, M.D.
Anesthesiology, Pain Medicine
Miami Neuroscience Institute
Baptist Health Medical Group
Miami, Florida

German Ojeda-Correal, M.D.
Director, Musculoskeletal Rehabilitation 
Miami Neuroscience Institute Spine Center
Baptist Health Medical Group
Miami, Florida

Jose Andres Restrepo, M.D., FAAPMR
Medical Director, Outpatient Rehabilitation
Physical Medicine and Rehabilitation Physician 
Miami Neuroscience Institute Spine Center
Baptist Health Medical Group
Baptist Health Quality Network
Baptist and South Miami Hospitals
Miami, Florida

Justin M. Thottam, D.O.
Physical Medicine & Rehabilitation and Interventional Spine Physician
Miami Neuroscience Institute
Miami, Florida

Ronald Tolchin, D.O.   
Physical Medicine and Rehabilitation Specialist
Medical Director, Spine Center
Miami Neuroscience Institute
Baptist Health Medical Group
Baptist Health Quality Network
Baptist Hospital of Miami
Miami, Florida 

Baptist Health Spine Symposium

Eduardo Icaza, M.D., Jose Andres Restrepo, M.D., Justin M. Thottam, D.O., German Ojeda-Correal, M.D. and Askshay Goyal, M.D., faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentations or discussions will not include off-label or unapproved product usage.

Melissa Guanche, M.D., faculty and co-conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Robert Rothrock, M.D., co-conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Miami Neuroscience Institute Symposium

Ronald Tolchin, D.O., conference director and faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Kevin Abrams, M.D., conference director for this educational activity, is a consultant for Keystone Heart and Viz.AI, and is a stockholder in Cleerly and Viz.AI. 

Star Belnap, Ph.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Guilherme Dabus, M.D., is a consultant for Penumbra, Microvention, Cerenovus, Stryker, Medtronic, Route92 and InNeuroCo, and a member of the speakers’ bureau for Penumbra, Microvention, Stryker, Medtronic and Route92; also, he has an executive role with NeuroTactical Strategies and is a stockholder in Three Rivers Medical, NeuroFine, Deinde, InNeuroCo, Cleerly, Synchron, RIST, Amgen, Regeneron, eLum, Hyperion and GHIF. 

Felipe De Los Rios La Rosa, M.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Karel Fuentes, M.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Italo Linfante, M.D., conference director for this educational activity, is a consultant for Medtronic, Cerenovus and Stryker, and a member of the speakers’ bureau for Medtronic; also, he is a stockholder in InNeuroCo, Three Rivers Medical, Deinde Medical and Prolong Pharmaceuticals. 

Michael McDermott, M.D., conference director for this educational activity, is a consultant for Deinde Medical and Stryker.

Jamelah Morton, APRN, conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Alberto Pinzon-Ardila, M.D, Ph.D., conference director for this educational activity, is a member of the speakers’ bureau for SK Pharmaceuticals, Sunovion Pharmaceuticals and UCB. 

Jessilyn Pozo, R.N., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Vitaly Siomin, M.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Justin Sporrer, M.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

All of the relevant financial relationships listed for these individuals have been mitigated. 

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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American Board of Surgery - Maintenance of Certification (MOC) - Self-assessment CME - Neurocritical Care

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit."

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

 

Available Credit

  • 1.75 ABS MOC II
  • 1.75 AMA PRA Category 1 Credit™
  • 1.75 General certificate of attendance
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.75 Florida Board of Pharmacy
  • 1.50 Florida Board of Respiratory Therapy

Price

Cost:
$9.95
Please login or register for a Baptist Health CME account to take this course.

 Successful completion of this online course is submitted to specialty boards through the ACCME's PARS system. 

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