Kevin Pauza Explained

Kevin Pauza
Nationality:American
Education:Pennsylvania State University University of PennsylvaniaColumbia University College of Physicians & Surgeons Lehigh University
Years Active:1990-present
Known For:Spinal disc treatment, Discseel
Profession:Physiatrist, Texas Spine and Joint Hospital
Specialism:Physical Medicine & Rehabilitation
Website:http://drkevinpauza.com

Kevin Pauza is an American physiatrist and interventional spine specialist. He is the co-founder of the Texas Spine and Joint Hospital located in Tyler, Texas.[1] Pauza developed the Discseel procedure[2] for the treatment of spinal disorders known as the Pauza Disc Treatment,[3] which claims to repair re-grow discs without a spinal fusion.[4] [5] [6]

Pauza has treated many international clients for chronic back pain and spinal disc degeneration, and even claims to have served as a medical advisor to the Saudi royal family.[7] [8]

Early life

Kevin Pauza was born on December 15, 1964, in Hershey, Pennsylvania, with twin sister Jill Ann Pauza. He and his three siblings grew up on his parents' farm. His mother, Gail Ann Pauza, was a registered nurse, and his father, William Vito Pauza, is a farmer, land conservationist,[9] and inventor.

Career

Pauza is a physiatrist and a founding partner of the Texas Spine and Joint Hospital in Tyler, Texas.[10] Pauza received degrees from University of Pennsylvania, Columbia University College of Physicians and Surgeons, Penn State College of Medicine, and Lehigh University.

Outside of treating patients with chronic lower back pain and degenerative disc disease, Pauza is on the editorial panel of several scientific journals, committees and boards.[11] He established the John Dehaan Foundation which annually awards $250,000 for advances in nonsurgical spinal treatment.[11] In 2008, Penn State College of Medicine recognized Pauza with the Alumni Fellow Award.[12] Pauza served on the advisory board of several medical tech companies.

Pauza Disc Treatment

Pauza developed the Pauza Disc Treatment and Biostat System,[13] a minimally invasive procedure that repairs and re-grows discs for the treatment of spinal pain and disorders including degenerative disc disease.[14] Pauza holds a series of 16 patents for a device and Discseel biologic that support the treatment. The procedure involves injecting two components of blood plasma, thrombin and fibrinogen, which combine to make fibrin, into damaged spinal discs[15] [16] for the treatment of spinal conditions such as degenerative disc disease, back pain and chronic low back pain, or internal disc disruption.[13] The Biostat intradiscal fibrin sealant underwent multiple Food and Drug Administration studies to become an FDA approved Discseel biologic that reduces back pain and regrows degenerated spinal discs.[13] [17] [18] On July 18, 2013, it was announced the results of its Phase III Investigational New Drug study had not met its success criteria, and injections of the Fibrin Sealant were not statistically significantly better than saline injections.[19] [20] As of early 2021, major insurance providers still classify Discseel as an experimental or investigational procedure, given weaknesses in the positive studies and a general lack of medical community acknowledgement or randomized controlled trials on the treatment.[21] [22]

Disciplinary actions and charges of malpractice

In 2013 Pauza was reprimanded by and entered into a disciplinary agreement with the Texas State Medical Board. The Medical Board found that Pauza failed to meet expected standards of care, failed to follow the board's guidelines for the treatment of pain, failed to keep adequate medical records and failed to cooperate with board staff.[23] Two years later the Board extended the order, after it "found Dr. Pauza’s medical records for the patient at issue were inadequate and that Dr. Pauza’s stated rationale for prescribing a medication as a sleep aid and for treating the patient with corticosteroid injections after a five-year treatment hiatus were inadequate."[24] In 2018 he was reprimanded again for failing to document his rationale behind a diagnosis of lumbar disc pain and lumbar radiculopathy, and for failing to document either that he had considered simpler and less invasive treatment options for the patient than the procedure he performed, or that his patient had chosen to forego conventional treatment.[25] In both incidents he was required to take remedial education in risk management and related subjects.

Notes and References

  1. Swanson . Holly . Alumni Profile: Kevin Pauza . Penn State Medicine . October 2008 . 18 . 2 . 44 .
  2. BACK PAIN: IDET procedure proven effective in randomized study. October 21, 2002. 4. Health and Medicine Week.
  3. Web site: Massey . Bob . New procedure may offer alternative to spine surgery . https://web.archive.org/web/20130531061236/http:/feelingfit.com/jointandotherpain/topic/11742-8/story . dead . May 31, 2013 . Charlotte Sun . August 13, 2015.
  4. Web site: For Back Pain Sufferers, a Technique Under Study May Offer Hope. Freeman. Karen. October 24, 2000. New York Times. August 13, 2015.
  5. Web site: A new hope for back pain sufferers?. May 6, 2012. CBS News. August 13, 2015.
  6. Web site: Esquivel . Stephanie . East Texas doctors fight to prevent opioid use . CBS News . 13 August 2015.
  7. Web site: Morris . Risa . Saudi Arabian King Abdullah had a strong link to East Texas . KYTX19 . 2021-07-04.
  8. Web site: Late Saudi King Abdullah has strong connection in East Texas . KLTV . 13 August 2015.
  9. Web site: South Londonderry Township Planning Commission, Current Members . South Londonderry Township . 16 December 2019.
  10. Web site: Chronic Back Pain? Spinal Fusion May be the Wrong Surgery . Weiss . Frances . May 8, 2012 . New Jersey Newsroom . August 13, 2015 . dead . https://web.archive.org/web/20150703075958/http://www.newjerseynewsroom.com/healthquest/chronic-back-pain-spinal-fusion-may-be-wrong-surgery . July 3, 2015 .
  11. Web site: Groundbreaking Spinal Treatment Spurs Saudi Interest. March 2011. Penn State College of Medicine. August 13, 2015.
  12. Web site: College of Medicine seeks nominations for Alumni Fellow Award. October 22, 2008. Pennsylvania State College of Medicine. August 13, 2015. https://web.archive.org/web/20160304212550/http://tr22g12.aset.psu.edu/story/182531/2008/10/22/college-medicine-seeks-nominations-alumni-fellow-award. March 4, 2016. dead.
  13. Web site: Treatment of Symptomatic Lumbar Internal Disc Disruption (IDD) With the Biostat System. 5 May 2014. U.S. National Institutes of Health. August 13, 2015.
  14. Web site: Texas Doctor finds Revolutionary Treatment for Backpain. May 6, 2012. Sky Valley Chronicle. August 13, 2015.
  15. Web site: New procedure may offer alternative to spine surgery . Massey . Bob . Charlotte Sun . August 13, 2015 . dead . https://web.archive.org/web/20130531061236/http://feelingfit.com/jointandotherpain/topic/11742-8/story . May 31, 2013 .
  16. Web site: Cutting-edge surgery aids student. April 2, 2010. Karpis. Paulina. The Dartmouth. August 13, 2015.
  17. Intradiscal Injection of Fibrin Sealant for the Treatment of Symptomatic Lumbar Internal Disc Disruption: Results of a Prospective Multicenter Pilot Study with 24-Month Follow-Up. January 2014. Pain Medicine. 15. 1. 16–31. 10.1111/pme.12249. free. Yin. Way. Pauza. Kevin. Olan. Wayne J.. Doerzbacher. Jeff F.. Thorne. Kevin J.. 24152079.
  18. Web site: Spinal Restoration Secures Funding for FDA Process . Eisner . Walter . October 26, 2012 . RRY Publications . August 13, 2015 . dead . https://web.archive.org/web/20151223102054/http://ryortho.iphost6.com/breaking/spinal-restoration-secures-funding-for-fda-process/ . December 23, 2015 .
  19. Web site: Spinal Restoration, Inc. Announces Disappointing Phase III Study Results for the Biostat® System. 2013-07-18. www.businesswire.com. en. 2019-04-15.
  20. Web site: New Disc Treatment: DISCSEEL™ to Heal? - Regenexx Blog. 2016-06-02. Regenexx. en-US. 2019-10-05.
  21. Web site: Back Pain - Invasive Procedures. Aetna. 2021-03-19. 2021-07-04.
  22. Web site: Medical Necessity Guidelines: Noncovered Investigational Services. Tufts Health Plan. 2021-06-21. 2021-07-04.
  23. News: 2 local doctors reprimanded by state board. Tyler Morning Telegraph. 2013-09-13. en. 2019-10-05.
  24. News: Tyler doctor among 40 disciplined by medical board. Tyler Morning Telegraph. 2015-06-25. en. 2019-10-05.
  25. Web site: TMB disciplines 35 physicians at August meeting, adopts rules changes. Schneider. Jarrett. September 10, 2018. Texas Medical Board. 2020-07-11. 3.