Jacob Fleming, MD

Interventional Spine/MSK Radiologist, sometimes heard @_backtableMSK #MskIR #SpineIR

[Jacob Fleming, MD @JacobFlemingMD]

Much has been of height restoration with SJ. IMO, just as important is the potential for anatomic reduction with normalization of disc and facet stress/strain. Case in point: broken left osteophyte on CT realigned with some cute bonus cement extending from the fracture cleft.

[Jacob Fleming, MD @JacobFlemingMD]

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.

[Avneesh Chhabra, MD, MBA, FACR @AChhabraMD]

Want to learn MR neurography- enjoy these seminal articles for free- hot off the press! https://t.co/URkpYvcIc0 https://t.co/kukDatsYAl. Enhance your skills- @UTSW_Radiology @UTSWMedCenter @utswortho @UTSW_RadRes @Ali_tejani @SSRbone @intskeletal @TheAJNR #MR Neurography@MRN

[BackTable Bone & Sports @_backtableMSK]

And we’re just getting started.

What started as a podcast has grown into a community of physicians, innovators, and learners pushing the MSK field forward one episode at a time. 🎧🎙️🚀⚡️🦴💪🏾

Thank you to every host, guest, listener, and contributor who has helped make BackTable MSK what it is today. Cheers to the next 100. 🥂✨

#BackTableMSK #MSK #InterventionalRadiology #OrthopedicIR #Embolization #PainManagement #Orthopedics #SportsMedicine #MedicalPodcast #HealthcareInnovation

[Francis Deng, MD @francisdeng]

Implementation of AI assistance for screening mammography did not improve real-world performance of radiologists

[Joel Wells, MD @joelwellsmd]

Not all hip dysplasia looks the same. Acetabular deficiency can be found in many places, and can often look like impingement, pincer related anatomy! Anterosuperior deficiency, global deficiency and posterosuperior deficiency #hipdysplasia #teamhip https://t.co/dwQ0M4ZqQE

[Jack Garnham @jjgarnham]

Keep an eye out for subtle facet fractures! This tiny superior articular process fracture at C6 is classified as an F1 in the AOS system. F1 fractures are typically stable. F2 fractures are potentially unstable; these are characterised by fracture fragments larger than 1 centimetre (or involving more than 40% of the lateral mass). The presence of an F2 fracture can affect management as a non-operative approach may not be successful.

[Jacob Fleming, MD @JacobFlemingMD]

@WillyRontgen Sectra is great and I would say best I’ve used.
Our group is moving from Fuji to Visage soon, fingers crossed.
Fuji and Phillips (iSite) tied for last.
McKesson/Change I always thought was surprisingly decent, especially compared to iSite.

[Jacob Fleming, MD @JacobFlemingMD]

@linemonkeymd @tayjrobin @MiraMalavia @Jonas__Kruse @VISLAMDSCAIP @KPVISLA @Subhash_Gutti @ashleylambaMD @brittanyj_b Nobody has done as much for engagement of the next generation in clinical IR. Future SIR Gold Medal recipient 👑🏅

[Jacob Fleming, MD @JacobFlemingMD]

@DoctorCliffyy @UMN_IRad Nice!! @bkeyMD

[Jacob Fleming, MD @JacobFlemingMD]

@dougbeall Great concept for a new course! What devices/techniques will be covered?

[Orthopedics Today @OrthoToday]

Joseph A. Abboud, MD, FAAOS, of @RothmanOrtho, discussed results presented at #AAOS2026 that showed GLP-1 use in adults with concurrent type 2 diabetes and obesity was associated with increased risk for osteoporosis, gout and osteomalacia.

@AAOS1

https://t.co/vAlueWM9l1

[Jacob Fleming, MD @JacobFlemingMD]

@dougbeall Any code for interspinous bursitis injections or just unlisted/on the house?

[Jacob Fleming, MD @JacobFlemingMD]

Paging @kevinsealsmd @guessing_lupus

[Jacob Fleming, MD @JacobFlemingMD]

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

[Jacob Fleming, MD @JacobFlemingMD]

@jkhmlf Yes. Auto=self i.e. self fusion (without hardware). Some call it spontaneous fusion but I think that that is a misnomer. There’s not really much spontaneous about it, it’s due to a process occurring over years if not decades.

[Jacob Fleming, MD @JacobFlemingMD]

@ChengaziMD Underappreciated masterpiece

[Jacob Fleming, MD @JacobFlemingMD]

@dougbeall AetNO doing the most to keep their patients debilitated instead of approving one of the most effective procedures available.