Dr. Sasso and Dr. Kraemer Attend North American Spine Society 28th Annual Meeting

Tuesday, October 29, 2013 by Rick Sasso, MD

Drs. Rick Sasso and Paul Kraemer recently returned from New Orleans after attending the North American Spine Society 28th Annual meeting.

Dr. Sasso served as chairman of a technique workshop called Evolving Anterior Technologies in the Treatment of Cervical Degenerative Disease. This newly developed workshop explored new and evolving technologies compared to standard techniques in the treatment of degenerative cervical disorders through an anterior portal. These techniques were taught by neurosurgical and orthopedic experts and included hands-on practice on sawbones.

Dr. Kraemer served as one of the faculty members who spoke on the topic: Decompression without Fusion-Jho, Transcorporal Approach.

View the final meeting program here: North American Spine Society 28th Annual Meeting

Dr. Kraemer and Sasso Coauthor Complete Vertebral Resection for Primary Tumors Chapter

Thursday, September 12, 2013 by Rick Sasso, MD

Indiana Spine Group colleague Paul Kraemer, MD, and I recently authored a book chapter entitled Complete Vertebral Resection for Primary Tumors. The chapter is published in Operative Techniques: Spine Surgery, Second edition pp 232-237. Edited by AR Vaccaro and EM Baron, Elsevier Saunders, Philadelphia, PA 2012.



To read click here:  Vertebral Resection for Primary Tumors Chapter

Cervical Spine Research Society

Friday, November 30, 2012 by Rick Sasso, MD

The Cervical Spine Research Society published their 5th edition of the seminal cervical spine book.  I had the privilege of being the co-editor and writing three chapters with colleagues of mine.  The chapters are as follows:

Upadhyaya CD, Sasso RC, Mummaneni PV: Ankylosing Spondylitis. In: The Cervical Spine: Fifth edition pp 854-862. Edited by EC Benzel. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, PA. 20012.

Kraemer P, Sasso RC: Complications related to the management of odontoid fractures. In: The Cervical Spine: Fifth edition pp 1256-1266. Edited by EC Benzel. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, PA. 20012.

Kraemer P, Sasso RC: Management of cervical myelopathy secondary to retroodontoid masses: Transoral resection versus dorsal decompression and fusion. In: The Cervical Spine: Fifth edition pp 1402-1404. Edited by EC Benzel. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, PA. 20012.

Complete Vertebral Resection for Primary Spinal Tumors

Friday, July 6, 2012 by Rick Sasso, MD

The book, Operative Techniques: Spine Surgery, 2nd Edition was currently published and my colleague, Paul Kraemer, M.D. and myself had the opportunity to contribute to the publication; Procedure 24: Complete Vertebral Resection for Primary Spinal Tumors.  Click on the link below to view.


Paul Kraemer, MD | WC Guest Guru

Tuesday, December 6, 2011 by Indiana Spine Group

In December, Paul Kraemer, MD, is a featured Guest Guru on wcguru.com. Dr. KraPaul Kraemer, MDemer is a spine surgeon with Indiana Spine Group.

WCGURU is an online resource for worker’s compensation specialists, providing news, resources and information. As a guest guru, Dr. Kraemer highlights his treatment philosophy as well as providing a Top Ten list about Indiana Spine Group’s treatment philosophy and resources for patients, employers and worker compensation professionals.  

For more information, or to contact our Worker's Compensation specialists call (317) 228-7000.

Spine Universe Case Study - Paul Kraemer, MD

Thursday, October 6, 2011 by Indiana Spine Group
Paul Kramer, MD, a spine surgeon with Indiana Spine Group, recently had a case study Paul Kraemer, MDfeatured on Spine Universe.

This case was a 17 year-old male patient, who sought medical treatment for pain in his back when he walked. The patient was diagnosed with developmental thoracolumbar kyphosis, also called congenital dislocation of the spine.

This case study highlights findings from the exam, diagnosis and provides and overview of the selected spine surgical treatment.The technical description of the spine surgery he underwent is " all posterior single-stage T10 to T12 vertebral column resection with expandable cage reconstruction, and a T7 to L2 posterior spinal fusion." Post-operatively, the patient has less spinal deformity, no longer has pain in his back and legs and is able to walk pain-free.

To read the case study, visit this link.

Myths of Spine Surgery

Thursday, August 4, 2011 by Indiana Spine Group

For more information about Back Talk, call (317) 228-7000, or visit this link.

Back Talk | A Comprehensive Review and Practical

Approach to Spinal Diagnosis and Treatment


During this current session Paul Kraemer, MD, a spine surgeon with Indiana Spine Group, will address the many myths and insights of spine surgery. This Paul Kraemer, MD - bioincludes the what, when and why. A few topics that will be reviewed include evidence-based research documenting the indicators for spine surgery. Dr. Kraemer will also review the criteria for patient selection for spine surgery. A few of the common misconceptions of spine surgery that will be discussed include age appropriateness, rest requirements, postoperative pain and bracing.

Dr. Paul Kraemer and Community Hospital

Thursday, July 14, 2011 by Indiana Spine Group

Paul Kraemer, MD, a spine surgeon with Indiana Spine Group, is featured in a video produced by Community Hospital. In this video, Dr. Kraemer discusses his philosophy of Paul Kraemer, MDcare and working with Community.

A few highlights of this video include:

  • Dr. Kraemer’s working relationship with other physicians within Indiana Spine Group, to provide a comprehensive continuum of care to spine patients. In this section, he discusses the advantages of working in the same office with Jonathan Gentile, MD - a minimally invasive spine specialist.
  • With the resources provided by Community Hospital, Dr. Kraemer is able to perform complex spine surgery; i.e. operating rooms, surgical equipment, staff expertise, ICUs, etc.
  • There is a continued trend towards more minimally invasive spine surgery. This includes smaller incisions and less muscle movement.


To watch this video, visit this link.

Reader's Questions

Wednesday, May 4, 2011 by Indiana Spine Group

A recent blogger submitted a few questions about degenerative disc disease, and asked about treatment options for the lumbar spine. 

The blogger asked the following:

What about dynamic stabilization devices as an alternative to lumbar fusion? I have been doing some online research, hoping to get plugged into a 522 study, or otherwise explore whether insurance might cover something like this in my situation. (2 degenerating discs.)


Paul Kraemer, MD, a spine surgeon with Indiana Spine Group responded to these Paul Kraemer, MDquestions.


First, there is no perfect treatment for degenerative discs. The technology of motion stabilization is still very much in its early infancy, and at this point that is probably not the best solution.


There are two categories of implants that exist, disc replacement and motion stabilization, but trials have had problems and neither is currently being implanted.  One motion stabilization implant, sought to minimize motion of the disc to prevent pain and decrease revision surgery, but no definitive proof for either of those claims exists, and they have run into recent trouble with the FDA for their longer term data. Another motion stabilization concept, facet replacement devices are motion preservation devices aimed at facet joints, and at least one recent trial was ended early by the FDA.


Disc replacement in the lumbar spine has been done for over 20 years and works well in appropriately selected patients.  This procedure is FDA approved, but insurance companies frequently refuse to acknowledge convincing data. The results for this surgery seem very reproducible, but it’s only approved for single level disease with healthy facet joints.


All of this skips over the point that back surgery is usually not the first or best answer for back pain, and many people with degenerative discs have little or no pain. It's always recommended to talk to a spine surgeon to see what your specific treatment options are.


In respect to web sites that provide spine specific information – a few very popular sites are Spine Universe and Spine Health.  

Annual AAOS Meeting

Tuesday, April 5, 2011 by Indiana Spine Group


Blog Entry: Annual AAOS Meeting


In February, Drs. Rick Sasso, and Paul Kraemer presented at the annual continuing medical Balboa Park, San Diegoeducation meeting of the American Academy of Orthopaedic Surgeons in San Diego.

Drs. Kraemer and Sasso co-presented a talked entitled, “Differentiating Cervical Spine and Shoulder Pathology: Common Disorders and Key Points of Evaluation and Treatment.” Additionally, Dr. Sasso co-presented other talks, of which a couple were: "The Degenerative Cervical Spine: What You Need to Know," and "Cervical Disc Replacement: Five Year Follow-up from the U.S. Prospective Randomized Bryan Trial." For a complete, continuing medical education program, visit this link.  

More AAOS Meeting

Tuesday, March 29, 2011 by Rick Sasso, MD

In addition to planning and coordinating the symposium on spinal trauma, previously addressed in a prior blog entry, at the annual American Academy of Orthopaedic Surgeons meeting I also served as faculty for Instructional Course lectures. One Instructional Course was entitled “Differentiating Cervical Spine and Shoulder Pathology: Common Disorders and Key Points of Evaluation and Treatment.” This continuing medical education talk focused on the overlap of cervical spine and shoulder pathology, and addressed the diagnostic methods for differentiation.  One of the co-presenters of this session was Paul Kraemer, MD. Dr. Kraemer is also a spine surgeon with Indiana Spine Group.


Wednesday, November 24, 2010 by Indiana Spine Group

In addition to patient care and research, physicians with Indiana Spine Group lecture nationally and internationally as well as publish.  A few recent publications include the following:


  • A book chapter co-authored by Kevin Macadaeg, MD, and Rick Sasso, MD, et.al. This chapter was on neck pain and was entitled, “Treatment of Axial Neck Pain”. This was published in Arthritis and Arthroplasty: The Spine, edited by Shen and Shaffrey.  To purchase this book, visit this link.  
  • A chapter co-written by spine surgeons Rick Sasso, MD, and Paul Kraemer, MD, entitled “Rigid versus Dynamic Cervical Plates: Indications and Efficacy”. This chapter was published in a book entitled Controversies in Spine Surgery: Best Evidence Recommendations, edited by Vaccaro and Eck. This book is available online.

Congratulations, Paul Kraemer, MD!

Monday, November 15, 2010 by Indiana Spine Group

Indiana Spine Group is excited to announce that Paul Kraemer, MD, recently passed his board certification exams. Dr. Kraemer, a spine surgeon with Indiana Spine Group, is  board certified by the American Board of Orthopaedic Surgeons.  Congratulations, Dr. Kraemer!


What exactly is board certification? According to the American Board of Medical Specialties (ABMS), board certification demonstrates a physician’s exceptional expertise in a particular specialty and/or subspecialty of medical practice. Certification by the American Board of Medical Specialties involves a rigorous process of testing and peer evaluation that is designed and administered by specialists in the specific area of medicine. For more information, visit the ABMS site

Paul Kraemer, M.D. - AANS Topic

Wednesday, May 12, 2010 by Indiana Spine Group

Paul Kraemer, M.D., a spine surgeon with Indiana Spine Group, presented at the annual continuing medical education meeting of the American Association of Neurological Surgeons.  (Highlighted in a previous blog entry.) Dr. Kraemer was a co-faculty member for the session entitled, “Cranio-Cervical: Stabilization Techniques, Surgical Approaches and Indications.” 

This session was a practical clinic and it included the evaluation of craniocervical anatomy and pathology, as well as the development of a treatment plan.  In addition to the presentation, this clinic also included a hands-on demonstration.  The objectives of this session were, to:

  • Formulate craniovertebral junction surgical approaches
  • Classify and differentiate craniocervical lesions
  • identify current techniques and strategies in occipito cervical fixation

AANS Annual Meeting

Monday, May 10, 2010 by Indiana Spine Group

In early May, physicians with Indiana Spine Group attended and spoke at the annual meeting of the American Association of Neurological Surgeons. This included neurosurgical spine surgeon Kenneth Renkens, M,D., F.A.C.S., and spine surgeon Paul Kraemer, MD. This annual continuing medical education meeting for neurosurgeons was hosted in Philadelphia.  

Back Talk Agenda Overview

Monday, April 19, 2010 by Indiana Spine Group

Planning continues for Back Talk | Comprehensive Concepts in Spinal Diagnosis and Abnormalities, Indiana Spine Group’s 4th annual spine symposium. For this year’s conference there will be two educational tracks. One track will provide more general information and one in-depth. These tracks will be held the morning of day one. 


The general track is entitled: Spinal Care Boot Camp | Diagnostics and Treatment. There will be a session on spinal anatomy, entitled Spinal Anatomy 101, presented by minimally invasive spine specialist Kevin Macadaeg, MD.  During this session, Dr. Macadaeg will discuss the functional anatomy of the spine, normal aging process, the spine’s degenerative cascading process and normal and abnormal spinal anatomy.


Another general session which will be presented by minimally invasive spine specialist John Arbuckle, MD, The ABCs of Spinal Diagnostics. In this session, the etiology of spinal pain and common spinal disorders that cause back pain will be reviewed. Additionally, Dr. Arbuckle will discuss the indications and applications of spinal testing, evidence-based guidelines for the diagnosis of lower back and neck pain, and he will highlight the red flags of spinal pain. 


Two other sessions in this track include Understanding Spinal Therapeutics and The Spine Surgery Patient. In the spinal therapeutics session, presented by minimally invasive spine specialist Jonathan Gentile, MD, he will discuss the pharmacological management of acute and chronic back pain, review common noninvasive and minimally invasive spinal therapies and their indications. Spine surgeon Paul Kraemer, MD, will discuss the spine surgery patient and will provide an overview of common spine surgery procedures, their indications and expected outcomes. Additionally, Dr. Kraemer will discuss the applications and limitations of spine surgery, and when referral to a spine surgeon is indicated. 

For a complete Back Talk agenda, link here


Cervical Spine Surgery - Book Chapter

Wednesday, December 9, 2009 by Indiana Spine Group

Earlier this year, Dr. Rick Sasso and I were asked to write a spine continuing education chapter on “Controversies in Cervical Spine Surgery”, specifically about a newer spine surgical technology known as dynamic plating for cervical fusions.  Traditional plates, known as static plates, have a high success rate, but in reviewing the published reports of direct comparisons between the two plates, the dynamic plates have a slightly higher percentage which fuse.  It may be even more beneficial in longer fusions.


I have switched my practice to essentially using only the dynamic plates for cervical spinal fusions.  I have been very happy with the  results.  As with all new technology, it is important to carefully monitor results and compare them against established techniques.  I'm keeping an eye on continuing trials even as I incorporate this technology into my own practice.

(This blog entry was written by Paul Kraemer, MD; a spine surgeon with Indiana Spine Group). 

Spinal Stenosis

Tuesday, November 10, 2009 by Indiana Spine Group

Spinal stenosis is a general term that refers to the narrowing of the spinal canal. Often this is a degenerative condition resulting from aging. More commonly found in the lumbar (lower back) spine, it also occurs in the cervical (neck) spine. 


Learn more about spinal stenosis, the diagnosis and treatment with this education video featuring Dr. Kenneth Renkens.   Dr. Renkens is a neurosurgical spine surgeon with Indiana Spine Group. Orthopaedic spine surgeons with Indiana Spine Group include Rick Sasso, M.D., Thomas Reilly, M.D., and Paul Kraemer, M.D.

Continuing Medical Education - Back Talk | Available On-line

Friday, October 16, 2009 by Indiana Spine Group

If you were not able to attend Indiana Spine Group’s continuing medical education conference, Back Talk | Comprehensive Concepts in the Diagnosis and Treatment of Spinal Disorders -  educational sessions are now available on-line.

Educational Sessions include:

To view these continuing education sessions, click here.  Additionally, if you would like to receive continuing medical education credits for viewing theses sessions, visit the St.Vincent Distance Education Site and view from there. Registration is free.

(A very special thank you to St.Vincent Spine Center for making these videos possible.) 

The Failed Back

Tuesday, August 25, 2009 by Indiana Spine Group

Another session at Back Talk, the continuing medical education symposium for physicians and health care practitioners will address the failed back. Sometimes called failed back syndrome, failed back surgery or post-laminectomy syndrome – these patients continue to have ongoing back pain following spine surgery. 


This session will be presented by minimally invasive spine specialists Jonathan Gentile, MD, and John Arbuckle, MD, and spine surgeon Paul Kraemer, MD. With Indiana Spine Group, these physicians treat patients at our offices located on the north side of Indianapolis. 


During this continuing medical education session, the tools for physicians and health care practitioners to perform a diagnostic assessment of patients with chronic back pain following spine surgery will be highlighted. This diagnostic assessment will help caregivers to understand the underlying causes of ongoing back pain, and the mechanism of failed back. Additionally, medical and interventional treatments for failed back will be discussed – their indications and expected outcomes.