Jacob Fleming, MD

SpineJack is excellent for anatomic reduction in subacute junctional fractures, but the rules of adequate VB cement apply: side to side, top to bottom. Even after 12cc, lower L1 was still bare. 2.5 more cc via inferior endplate extrapedicular access finished the job.

In case anybody was curious what a Corgi's L-spine and hips look like under x-ray. I was.
#CorgiRad

I like big blocky fills and I cannot lie. #SirCementalot

Sometimes controlled extravasation is beneficial. T10 and recurrent T9 fracture s/p T8,9 kypho previously. Fracture morphology complicated by DISH. Transpedicular disc access for T9 kypho and discoplasty to consolidate osteophyte and endplate. Ugly, but effective. #disasterplasty

Curved needles and cement cannulas are helpful for targeting focal fracture clefts. Small T8 superior endplate cleft after otherwise sufficient kypho at OSH was not amenable to pedicular access. Transdiscal access from above made for an easy fix.