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BackTable / MSK / Podcast / Episode #91

Pathologic Fracture Fixation: Pelvic & Sacral Bone Stabilization Techniques

with Dr. Brandon Key

Your bony fixation technique can make (or break) a complex fracture case. In this episode of the BackTable MSK Podcast, host Kavi Krishnasamy welcomes Dr. Brandon Key, interventional radiologist at Medical College of Wisconsin (MCW) in Milwaukee, to discuss bone stabilization techniques in treating pathologic and non-pathologic fractures.

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Pathologic Fracture Fixation: Pelvic & Sacral Bone Stabilization Techniques with Dr. Brandon Key on the BackTable MSK Podcast
Ep 91 Pathologic Fracture Fixation: Pelvic & Sacral Bone Stabilization Techniques with Dr. Brandon Key
00:00 / 01:04

BackTable, LLC (Producer). (2026, January 6). Ep. 91 – Pathologic Fracture Fixation: Pelvic & Sacral Bone Stabilization Techniques [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Brandon Key on the BackTable MSK Podcast

Dr. Brandon Key is an interventional radiologist practicing at Medical College of Wisconsin (MCW) in Milwaukee, Wisconsin.

Dr. Venkatesh Krishnasamy on the BackTable VI Podcast

Dr. Venkatesh Krishnasamy is an interventional radiologist at University of Alabama at Birmingham.

Synopsis

Dr. Key shares insights into his practice, highlighting the importance of multidisciplinary collaboration with orthopedic surgery, the challenges of training in bony fixation, and the evolving technology that aids in these procedures, including the use of IlluminOss Photodynamic nails in complex bone interventions. Several detailed case studies illustrate the practical application and benefits of these advanced techniques, emphasizing their impact on patient outcomes and functionality.

Timestamps

00:00 - Introduction
02:06 - A Run Down of Bone Stabilization in the IR Space
12:54 - What’s in the Toolbox?
17:51 - Patient Preparation and Procedure Setup
29:47 - Combining Fixation with Thermal Ablation
34:12 - Introducing the Photodynamic Nail by IlluminOss
40:22 - “The Learning Curve” of the Photodynamic Nail
47:48 - Dr. Key’s Guidance for Practice Building
52:01 - Literature Highlights on IlluminOss
55:01 - Case 1: Anterior Column Disease
01:01:27 - Case 2: Isolated Posterior Column Disease
01:05:37 - Case 3: Non-healing Pathologic Fracture of Pubic Ramus
01:09:37 - Case 4: Iliac Wing Fixation with Orthopedic Surgery
01:15:40 - Case 5: Sacral Defects
01:19:45 - Case 6: Reconstruction of Posterior Iliac Wing
01:23:50 - Post-Procedure Outcomes and Reflections
01:29:02 - Final Thoughts: Encouragement for Collaboration and Innovation

Resources

Dr. Brandon Key, MD
https://www.linkedin.com/in/brandon-key-md-367a01310/


A Prospective Study of the IlluminOss Photodynamic Nail System for Pelvic Stabilization: Treatment of Impending and Actual Fractures from Metastatic Bone Disease, Multiple Myeloma, and Primary Bone Lymphoma
https://pubmed.ncbi.nlm.nih.gov/39281295/


Minimally Invasive Stabilization Using Screws and Cement for Pelvic Metastases: Technical Considerations for the Pelvic "Screw and Glue" Technique
https://pubmed.ncbi.nlm.nih.gov/31435131/


IlluminOss
https://illuminoss.com/us


Flow-FX
https://flow-fx.net/products/

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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