Optimizing Lumbar Discectomy: Closing Holes in the Disc
Benjamin J Kirchner, MPAS PA-C
Orthopaedic Institute of Western Kentucky
K. Brandon Strenge, MD
Orthopaedic Spine Surgeon
Orthopaedic Institute of Western Kentucky
Provided by HMP Education, an HMP Global Company.
For questions regarding this educational activity, please call 609-371-1137 or email email@example.com
This activity is designed for Orthopaedic Spine Surgeons, Neurosurgery Specialists, Physician Assistants (PAs), Registered Nurses (RNs), and other healthcare providers who manage spine patients.
After participating in this activity, learners should be better able to:
- Recognize the complexity and importance of lumbar biomechanics and disc nutrition
- Explain the factors associated with elevated risk of recurrent herniation and reoperation after lumbar discectomy
- Identify the goal of annular closure
- List the available (or previously used) methods of closing holes in the annulus at the time of lumbar discectomy and their impact on the risk of herniation and reoperation.
- Examine the factors that define a patient likely to benefit from annular closure
- Describe the steps required to implant a bone-anchored annular closure device
This on-demand webcast is available with synchronized slides and video.
To be eligible for credit, participants must complete the online activity and the evaluation. Upon completing the activity, there will be instructions on how to complete the evaluation and print a certificate or other documentation of credit.
Release Date: March 31, 2022
Expiration Date: March 31, 2024
Estimated Time to Complete: 1 hour
There is no fee associated with this activity.
The activity is best supported via a computer or device with current versions of the following browsers: Mozilla Firefox, Google Chrome, or Safari. A PDF reader is required for print publications.
In support of improving patient care, HMP Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Note: This statement is not an indication of approved credits. Please see below for full accreditation details, including credit types and totals, for this activity.
HMP Education designates this internet enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This continuing nursing education internet enduring activity awards 1.00 contact hour.
Provider approved by the California Board of Registered Nursing, Provider #13255 for 1.00 contact hour.
American Academy of Nurse Practitioners National Certification Program accepts AMA PRA Category 1 CreditTM from organizations accredited by the ACCME.
HMP Education has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with the AAPA CME Criteria. This internet enduring activity is designated for 1.00 AAPA Category 1 credit. Approval is valid until March 31, 2024. PAs should only claim credit commensurate with the extent of their participation.
The following Countries, Regions, and Accrediting Bodies accept, or have reciprocity or mutual recognition of credits with the AMA/ACCME. Please contact the accrediting body to find out more information on submitting or converting your credits.
- Bavarian Chamber of Physicians (Germany)
- Bulgarian Union of Scientific Medical Societies (Bulgaria)
- Canadian Medical Association (Canada)
- Canadian Nurses Association (Canada)
- EBAC® (European Board for Accreditation of Continuing Education for Health Professionals)
- Federation of Royal Colleges of Physicians (UK)
- French National Medical Council (France)
- Italian Federation of Scientific Medical Societies (Italy)
- National CME Commission of the Italian Ministry of Health (Italy)
- Spanish Accreditation Council for CME (Spain)
- UEMS-EACCME® (European Union of Medical Specialists)
USE OF PROPRIETARY NAMES
This continuing medical education activity may include device or medicine brand names for participant clarity purposes only, due to the presence of different branded versions of the same product. No product promotion or recommendation should be inferred.
UNAPPROVED AND/OR INVESTIGATIONAL USES OF DRUGS AND DEVICES
This activity may contain information about experimental and other uses of drugs or devices that are not currently approved by the European Medicines Agency (EMA) of the European Union or the Food and Drug Administration (FDA) of the United States. Participants are strongly encouraged to consult approved product labeling for any drug or device mentioned in this activity before use. The opinions expressed during this activity are the opinions of the respective authors, presenters or moderators and do not necessarily reflect the opinions of HMP Education.
The material presented and related discussions are not intended to be medical advice, and the presentation or discussion of such material is not intended to create and does not establish a provider-patient relationship. Medical advice of any nature should be sought from an individual’s own provider.
The opinions expressed in this educational activity are those of the faculty and are not attributable to HMP Global or any of its subsidiaries or affiliates. Clinical judgment must guide each professional in weighing the benefits of treatment against the risk of toxicity. Dosages, indications, and methods of use for products referred to in this activity are not necessarily the same as indicated in the package insert for each product, may reflect the clinical experience of the presenters, and may be derived from the professional literature or other clinical sources. Consult complete prescribing information before administering.
DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS
HMP Education is an independent provider of continuing medical education. HMP Education has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.
In accordance with our disclosure policies, HMP Education is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real relevant financial relationship (conflicts of interest) between any individual with control over the content and any ineligible company (commercial interest) as defined by the ACCME and CPME.
Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:
- Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and;
- Any investigational, off-label, or non-FDA approved content or discussion
HMP Education has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.
Education has been independently peer-reviewed to validate content, mitigate identified financial relationships (conflicts of interest), and ensure:
- All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
- All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
- Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.
All relevant financial relationships have been mitigated.
The faculty has reported the following:
Mr. Kirchner: Consultant—Intrinsic Therapeutics
Dr. Strenge: Consultant—Intrinsic Therapeutics; Research Funding—Intrinsic Therapeutics
Daniel Federman, MD
Chief of Medicine
Professor of Medicine
Yale University School of Medicine
West Haven, Connecticut
Dr. Federman has disclosed no relevant financial relationship with any ineligible company (commercial interest).
Susie Seaman, NP, MSN, CWCN, CWS (nurse planner)
Wound Clinic, Family Health Centers of San Diego
San Diego, California
Ms. Seaman has disclosed no relevant financial relationship with any ineligible company (commercial interest).
HMP Education planners and staff include Kristin Ciszeski; Samantha Joy; Randy Robbin; Krystal Scharon; and Andrea Zimmerman, EdD.
No HMP Education planner or staff has disclosed a relevant financial relationship with any ineligible company (commercial interest).
HMP Education complies with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please call 609-371-1137.
HMP Education protects the privacy of personal and other information regarding participants, educational partners, and joint providers. HMP Education and our joint providers will not release personally identifiable information to a third party without the individual’s consent, except such information as is required for reporting purposes to the appropriate accrediting agency. HMP Education maintains physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
Copyright © 2023 by HMP Education. All rights reserved. No part of this accredited continuing education activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from HMP Education.
Any participant wanting to file a grievance with respect to any aspect of a continuing education activity accredited by HMP Education may contact Samantha Joy, Senior Manager, Accreditation and Compliance, by phone at 609-371-1137, by email at firstname.lastname@example.org or in writing at 104 Windsor Center Drive, East Windsor, NJ 08520. Mrs. Joy will review the grievance and respond within 30 days of receiving the complaint.
Supported by an independent educational grant from Intrinsic Therapeutics.