Contents
Editorial
n MESSAGE FROM THE MEDICAL EDITOR
Troubled Times
Eeric Truumees, MD
n FROM THE DESK OF THE PRESIDENT
Building Bridges 
Charles L. Branch, Jr, MD
Current Concepts
n INVITED REVIEW
Intraoperative Imaging and Navigation in Spine Surgery 
Chetan K. Patel, MD
n CURVE/COUNTERCURVE
Cervical Injections: Is the Risk Worth the Benefits? 
Sara Christensen Holz, MD; Beth Wiggert, PT; Matthew Smuck, MD
n RADIOLOGY ROUNDS
Diastematomyelia and Tethered Cord in a Patient with Decreased
Sensation and Hyperreflexia 
Peter Gonzalez, MD; Anne T. Stratton, MD; Brian D. Petersen, MD; William Sullivan,
MD; Francis H. Shen, MD
n LITERATURE REVIEW
New from the Journals 
Christopher P. Miller, BA; Jonathan N. Grauer, MD
Socioeconomics & Politics
n ETHICS
Conflicts of Interest in Pain Medicine:
Practice Patterns and Relationships with Industry 
Jerome Schofferman, MD; John Banja, PhD
n REGULATORY POLICY
CMS National Coverage Determinations: What's Lurking on the Horizon? 
Donna M. Lahey, RNFA
n CODING Q & A
2009 CPT Changes for Spine Procedures 
Christopher P. Kauffman, MD; David R. O'Brien, Jr, MD
n ADVOCACY/LEGISLATIVE AFFAIRS/PAC
Making Local Connections Work for You 
Raj Rao, MD; Nicholas A. Schilligo, MS
NASS News 
Spring Break 2009: Back to Reality
Puerto Rico • April 23-25, 2009
Spine Safety Alerts
- Ethex Hydromorphone Tablets
- Propafenone HCl Tablets
- Isosorbide Mononitrate Extended Release Tablets
- Morphine Sulfate Extended Release Tablets
- Morphine Sulfate Immediate Release Tablets
- Dextroamphetamine Sulfate Tablets
- Bisphosphonates
- HLX8 Device
- Innohep
- Levaquin