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... or my breakfast with Bertagnoli!

I had the opportunity to spend a few hours with Dr. Bertagnoli this morning. This was one of the more interesting discussions, as I've been involved with some very different cases lately.

Of special interest to the community here will be the discussion on Neurography. He's been recommending MRN for some difficult cases and considers it another useful tool in the arsenal.

We had a very lengthy conversation about difficult reconstruction cases. Spines that have been fused in poor configurations, how they are rebuilt, chances of success, etc... We reviewed some current cases and his background in structural engineering shone through. I was a bit dense in understanding his application of a halo, so he got behind me and picked me up by my head. I then understood (and the neuro sensations in my face subsided as he applied such great traction.)

Discitis, failed surgeries and successes/failures in revising them is always interesting. He's also very interested in my contacts with the patient community and wants to know about the patients I keep up with.

We also got to cover some new technologies, especially AXIALIF fusions. We'll meet a failed AXIALIF fusion patient at Zeegers party on Sunday. I also have heard about modified / enhanced AXIALIF techniques from another surgeon I've been talking to.

ProDisc training is in full swing in the US. Synthes is rolling it out slowly and carefully. They seem to be intent on doing the exact opposite of what DePuy did with Charite.