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SIS literally wrote the book on interventional spine procedures and has spent decades creating and honing the finest in-person spine care educational offerings. Now, as part of SIS’s continuing mission to develop and promote high quality interventional spine care, the expert SIS faculty who help advance the evidence base bring you the next phase of SpineNet. You can now earn CME credits whenever you need them and wherever you are—at your own pace and without stepping away from your practice. Plus, SpineNet provides you with a convenient transcript, facilitating seamless record-keeping for your online CME, taking the pain away from record-keeping, as you learn the information and techniques necessary to reduce your patients’ pain. Click here to enter SpineNet and review the course catalog.

CME Activities

Accreditation Courses in Evidence-Based Medicine

Part I: Assessing Studies of Treatment

Part II: Assessing Studies in Diagnostic Tests and Strategies

Presented by Nikolai Bogduk, MD, PhD, these courses will provide you with the tools necessary to distinguish signal from noise in the reported outcomes of studies that are endlessly used and misused to influence your diagnostic and treatment decisions, your patients' expectations, and payers’ coverage determinations. Click here for samples and more details.


FactFinders explore and debunk the myths that surround patient safety issues. Many other FactFinders have been developed by the SIS Patient Safety Committee and are available at no cost (without CME credit) here.

Are Gadolinium-Based Contrast Media Safe Alternatives to Iodinated Contrast Agents for the Safe Performance of Spinal Injection Procedures?

Conscious Sedation

NPO Prior to Interventional Spine Procedures

Risk of Bleeding with Non-Aspirin Non-steroidal Anti-inflammatory Drugs before Spine Procedures

Spinal Cord Stimulation Patients with Permanent Pacemakers and Defibrillators

Online Journal Club Article Reviews

Members of the SIS Research Division identify and review high impact papers on interventional spine care, summarizing and critically appraising the studies, and posting the summary, critique and reference information. On SpineNet, you can review these articles and complete a post-test for CME credit.

Assessing Anatomical Targets for Successful SIJ Lateral Branch Nerve RFN
Do conventional anatomical landmarks predict successful RFN of SIJ lateral branch nerves? Find out in a review of a study that aimed to determine the best anatomical landmarks for fluoroscopic location of the lateral branch nerves and to assess what percentage of lateral branches are captured by traditional targets.
Stout A, Dreyfuss P, Swain N, Roberts S, Loh E, Agur A. (2017). Proposed Optimal Fluoroscopic Targets for Cooled Radiofrequency Neurotomy of the Sacral Lateral Branches to Improve Clinical Outcomes: An Anatomical Study.

Deciphering Conclusions from a Comparison of Hyaluronate and Triamcinolone
This study compared intraarticular triamcinolone injections to hyaluronate injections for treatment of lumbar zygapophyseal pain. The authors present a statistically significant improvement yet external calculations fail to support that conclusion. Annaswamy TM, Armstead C, Carlson L, Elkins NJ, Kocak, D, Bierner SM. (2017). Intraarticular Triamcinolone versus Hyaluronate Injections for Low Back Pain with Symptoms Suggestive of Lumbar Zygapophyseal Joint Arthopathy.

Positional MRI Paper Critique
Can neuroforaminal changes of the lumbar spine clarify clinical pain symptoms? Find out in a review of a study that examines the changes in lumbar neural foramina size during dynamic motion using positional magnetic resonance imaging (MRI)
Ren Z, Liu A, Yang K, Wang D, Buser Z, Wang JC. (2017). Evaluation of Changes in Lumbar Neuroforaminal Dimensions in Symptomatic Young Adults Using Positional MRI.

Systemic Reactions to Spinal Injections
Review a journal article and evidentiary table that analyzes the methodology and findings of a study that aimed to characterize the incidence of systemic reactions to epidural and facet injections of steroid. Lee GY, Lee JW, Yeom JS, Kim KJ, Shin HI, Kang HS. (2018). The Incidence of Various Types of Systemic Reactions Related to Epidural Steroid Injections: A Prospective Observational Study.

 SIS members are invited to delve even deeper into these article analyses by joining the discussions on the SIS Online Journal Club Blog.🔒 Participation in the SIS Online Journal Club is a member benefit provided at no additional cost and will help you keep up with the never-ending stream of new research findings and understand how they may impact your practice.

Other Educational Materials

SpineNet also offers digital versions of other SIS educational materials (which do not offer CME credit) including the instructional videos Lumbar and Cervical Vignettes presented by Charles Aprill, MD; Anatomy for the Spinal Injectionist: Lumbar presented by Nikolai Bogduk, MD, PhD; Lumbar Discography presented by Richard Derby, MD and Conor O’Neill, MD; and PDF presentations including Radiographic Anatomy of the Cervical Spine by Nikolai Bogduk, MD, PhD.

What to Expect Next from SpineNet

You will also have access to up-to-date webinars on timely topics and a direct connection to both SIS’s expert course faculty and your peers on topic-specific discussion boards.

Contact Us

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