Clinically Sharp | Spine PA @ClinicallySharp
Spine Surgery PA | OR & clinic tips | Helping new & transitioning PAs stay clinically sharp. #Surgically Sound. #Clinically Sharp Joined June 2025-
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Know your steps before the incision. Reviewing the op note, imaging, and surgical plan lets you anticipate instruments and sequence — making you a seamless extension of the surgeon. Precision. Efficiency. Partnership. #FirstAssistFriday | #SurgicalPA | #ClinicallySharp
Workup Wednesday Patient: 58M with 2 months of worsening right leg pain, numbness in L5 distribution. No motor deficits. No bowel/bladder changes. What’s your next step? 📌 Trial of conservative care? 📌 MRI now? 📌 EMG/NCS? 📌 Urgent referral? Key Considerations: ✅ Duration…
Technique Tip Tuesday During lumbar discectomy, always palpate the pedicle walls before removing disc fragments. Why? 👉 Prevents lateral breach 👉 Keeps your Kerrison out of the danger zone 👉 Preserves bony landmarks for orientation Small habit = big safety. #SpineSurgery…
Case Study Monday 70M POD4 ACDF. New dysphagia + mild SOB. Neck swelling noted. Next step? Choose wisely: •A) Soft diet, discharge •B) Neck CT w/ contrast •C) ENT consult •D) Bedside laryngoscopy What would you do? #ACDF #ClinicallySharp #SurgicalPA
Case Study Monday 61F, BMI 45 with chronic axial low back pain. No radiculopathy. MRI shows Modic changes at L4-5. Tried injections, meds, and PT. Which surgical option is most appropriate? A) GLP-1 B) TLIF C) ALIF D) Consider spinal cord stimulator first What would you…
Sunday Study Stack Not all complications scream. Here are 3 subtle signs of a possible CSF leak after spine surgery👇 1.Positional Headache Headache that worsens when upright and improves lying flat Think: Intracranial hypotension from CSF loss Often misread as “tension”…
Surgery Saturday: Cervical Pearl During ACDF, ensure complete uncinate resection if you’re treating foraminal stenosis. Incomplete decompression = persistent arm pain. Use angled curettes + match your burr to the disc space height. What’s your go-to technique?👇 #SurgerySaturday…
Surgery Saturday: ACDF Edition Your retractors are in. Disc is exposed. What’s your go-to technique for controlled discectomy without violating the endplate? Drop your tips👇 #SpineSurgery #ClinicallySharp
🗓️ First Assist Friday During exposure, align retraction with tissue planes to avoid undue tension and improve visualization. Good exposure is the foundation of safe dissection. 🎯 Precision. Efficiency. Partnership. #FirstAssistFriday | #SurgicalPA | #ClinicallySharp
PA Life Friday Thread: Being a surgical PA is 50% patient care, 50% wondering where the attending went, and 100% documenting it all anyway.
👋 I’m a Spine Surgery PA helping new grads & transitioning PAs stay sharp in the OR & clinic. Follow for: ✅ Surgical tips ✅ Practical tools ✅ PA career advice Let’s make spine surgery less overwhelming & more efficient. #PhysicianAssistant #SpineSurgery #ClinicallySharp
🎓 Applying to PA school? In the middle of rotations? ✅ Get practical tips ✅ Avoid burnout ✅ Prepare like a pro 📘 Navigating PA School is your guide from application to graduation. 🔗 payhip.com/b/BE3m6 #PAstudent #PrePA #PhysicianAssistant #PASchool #MedTwitter
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