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So far Ortho_Team_2 has created 72 blog entries.

New Advances in the Treatment of Spinal Tumors

by Paul Saiz, M.D. Back pain has many faces and most problems of the spine are self-limiting and benign. In fact, 90% of low back pain, for example, will resolve without physician intervention. However, if back pain doesn't go away, it's important to obtain an accurate diagnosis so treatment can be initiated. The physician must [...]

October 19th, 2016|Neck and Lower Back|

Lumps, Bumps, and Masses

As clinicians we have all encountered the situation where a patient asks "Doc, I have this bump here," or, we review an X-ray with "something funny in the bone." These are precarious situations because we do not want to miss a malignancy or cause a delay in diagnosis in today's litiganous society. However, benign masses [...]

October 19th, 2016|Neck and Lower Back|

Kyphoplasty vs Vertebroplasty

What is the difference? With the introduction of new technologies in medicine, understanding each new technique is becoming more and more difficult. Minimally invasive procesdures are in full bloom and the spine is benefiting from these advancements. One area that can be confusing are the treatment choices for spine compression fractures. The 2 terms often [...]

October 19th, 2016|Neck and Lower Back|

Soccer Concussion

Being an avid soccer fan I am frequently asked about concussions and when is the appropriate time to allow kids to head the ball. The concern is that heading the ball will lead to concussions and potential injury. In a recent study published in the 2015 Journal of the American Medical Association (JAMA) Pediatrics, R Dawn [...]

October 12th, 2016|Uncategorized|

What about Laser Spine?

Sometimes during my patient consultations, I receive the question “What about Laser Spine?”  Having practiced in Phoenix and currently living in New Mexico, I have encountered many patients before and after their experience with the Laser Spine Institute (LSI). My impression of LSI has more to do with a focus on promoting Minimally Invasive Surgery [...]

October 12th, 2016|Uncategorized|

SpineLine Article

Did you know? Dr Paul Saiz recently had an article published in the May-June issue of SpineLine 2015. He co-authored an article entitled “Timing of CCI edits for Interbody fusion and Laminectomy at the same level.” This article explains the history behind the linking of two surgical codes: fusion with decompression. SpineLine is a clinical [...]

October 12th, 2016|Uncategorized|

The 2015 Annual New Mexico Workers Compensation

The 2015 Annual New Mexico Workers Compensation (WC) meeting took place at the Ysleta resort in Albuquerque on May 13-15th. Dr’s Saiz and Romanelli were given an opportunity to lecture on causation issues regarding the neck and shoulder. The concepts of temporal relationships, dose response and mechanistic plausibility were discussed. A literature review was also [...]

October 12th, 2016|Uncategorized|

Smokers may have higher incidence of swallowing issues after Anterior Neck Surgery than non-smokers.

Cervical fusions typically involve approaching the neck from the front. This approach includes mobilization of the esophagus and trachea which always involves some amount of dysphagia (problems swallowing). Dysphagia can last anywhere from two weeks to sometimes multiple months or years.  A general rule of thumb is that the more levels operated on, the more [...]

October 12th, 2016|Uncategorized|

When NO surgery is a good thing?

Oftentimes, when evaluating a patient, I offer my opinion that they are not a surgical candidate. This opinion comes after a thoughtful review of the history, physical exam, imaging findings and the patient’s expectations. Sometimes, no good surgical options are available. An important concept to learn is that surgical procedures are focused on decreasing pain [...]

October 12th, 2016|Uncategorized|

Lumbar Laminectomy Code Review

Surgeons use ICD.9 codes to identify what the disease/ pathology of each patient is for the insurance companies. The CPT codes refer to the surgery itself and what was done. Typically, the ICD.9 codes need to match the CPT codes. For instance, a foot disease ICD.9 code does not match a spine CPT surgery code; in [...]

October 12th, 2016|Uncategorized|