Current Guest Guru: Paul E. Kraemer, M.D.
Indiana Spine GroupWith spine injuries, people treat it as if it were one problem. Many times, the spine is only one component of the problem. Some may lose sight of the bigger picture. In the end, my goal is to work out a system that helps bring specificity to the situation.
Issues in work comp can be a challenge. When you hear one thing from the case manager, something else from the patient, and another thing from the physical therapist, it is hard to decipher what the true issue is sometimes. But not all patients are like that. Keeping the communication consistent can be an issue. I treat all of my patients the same (whether work comp or not). I don’t overpromise. I make sure they have the proper mindset and realistic expectations. The mindset of the patient is a huge issue.
My philosophy is simple; be specific and know what you are treating and why you are treating. I make sure everyone is on the same page. To manage the expectations of the patient, two things are needed; good communication and an effective WC program. We have a great program in place, managed by a former adjustor. We make sure our program works.
We also stress education, and talk with employers and patients about preventative measures. In fact, I call it the prevention of failed surgeries. I think of it as "How to avoid what the next operation is going to be". With spine injuries, people treat it as if it were one problem. Many times, the spine is only one component of the problem. Some may lose sight of the bigger picture. In the end, my goal is to work out a system that helps bring specificity to the situation.
EventsDecember 1, 2011: Indianapolis
IWCI Annual Christmas Party
February 7-11, 2012: San Francisco, CA
American Academy of Orthopaedic Surgeons Annual Meting
October 24-27, 2012: Dallas, TX
North American Spine Society Annual Meeting
Spotlight: My Treatment Philosophy
Infectious Pin Complication Rates in Halo Vest Fixators Using Ceramic Versus Metallic Pins
Journal of Spinal Disorders and Techniques Vol 23(8) December 2010.
• Retrospective review of complications associated with ceramic pins.
• Fellow research project.
Cervical spine injury severity score. Assessment of reliability.
Spinal Trauma Study Group. Journal of Bone & Joint Surgery- American Volume. 89(5):1057-65, 2007 May.
• Observer for reliability analysis.
• Classified 40 CT’s utilizing novel 4 column system for original paper.
Correlation of Microdiscectomy Outcomes with Apolipoprotein E and Catechol-O- Methyltransferase Genotype.
• Currently collecting genotype data on Microdisc patients
• Prospective trial of all herniation patients being constructed
Complications : Failure of Cervical Spine Instrumentation In “Arthritis and Arthroplasty, Spine”
BF Morrey, ed, 2009 P Kraemer, RJ Bransford, JR Chapman.
Cervical Spine: Static Vs Dynamic Plates In “Controversies in Spine Surgery”
AR Vaccaro, JC Eck ed 2010 P Kraemer, RC Sasso.
Complications related to the management of odontoid fractures In “The Cervical Spine, 5th Edition”
CR Clark Ed, 2011 P Kraemer, RC Sasso
Spine Surgery Tricks of the Trade Vol 2 – Pub 2011 Management of Metastatic Disease
P Kraemer RC Sasso
Spine Surgery Tricks of the Trade Vol 2 – Pub 2011 En Bloc spondylectomy for Primary Spinal Tumors
P Kraemer, RC Sasso
More about Dr. KraemerDr. Kraemer is a board-certified orthopaedic surgeon with Indiana Spine Group, specializing in spine surgery. Additionally, he is an assistant professor of orthopaedic surgery at Indiana University Medical School, and the fellowship director for spine surgery with Indiana Spine Group and IU Orthopaedics. Dr. Kraemer performs all types of spine surgery, and specializes in redo, or revision surgery, treatment of previous failed spine surgery, and complex disorders including scoliosis and deformity. Additionally, he performs minimally invasive procedures when indicated. Dr. Kraemer speaks nationally and internationally. His research interests focus on long term outcomes of spinal fusion and prevention of failed surgeries.