Ask Spine Surgeons is a weekly series of questions posed to spine surgeons around the country about clinical, business and policy issues affecting spine care. We invite all spine surgeon and specialist responses. Next week's question: What is the number one thing spine practices should look for in electronic medical records?
lease send responses to Laura Miller at firstname.lastname@example.org by Thursday, Nov. 22, at 5 p.m. CST.
Q: What technology have you been most impressed with over the past year?
Isador Lieberman, MD, Spine Surgeon, Texas Back Institute, Plano: The "ultrasonic bone scalpel" developed and distributed by Misonix Inc., in the words of a recent fellow of mine it is "a game changer." As I have gained experience with it I have been able to take advantage of it's a traumatic method of osteotomising bone for facetectomies, Smith Petersen osteotomies, pedicle subtraction osteotomies and even cervical corpectomies. The device is safe, efficient and provides for a precise cut. It has dramatically enhanced my ability to decompress the spine or release the spine in a less invasive fashion.
Hooman Melamed, MD, Orthopedic Spine Surgeon, Marina Del Rey (Calif.) Hospital: The development & use of minimally invasive techniques on complicated cases with potentially the same benefit as the traditional open techniques.
Trent J. Northcutt, CEO, Aurora Spine: I see a revolution coming in the market. More and more doctors are accepting ISP devices as their implant of choice for treatment of stenosis and for fusion and stabilization. ISP devises offer the doctor a true MIS implant to address the patients back pain. Minimal blood loss, lower infection rate, and shorter OR time.
Jeffrey Wang, MD, UCLA Spine Center: I have been most impressed by the lack of new innovations and new technologies that have not been present at research and society meetings. For the technology that is more recent, I have been impressed with the patients in my practice who have had cervical disc arthroplasty.
Joseph Zavatsky, MD, Section Chief of Orthopedic Spine Surgery, Ochsner Medical Center, New Orleans: Minimally invasive surgery is becoming more prevalent in many spine surgeon's practices but the amount of fluoroscopic X-ray exposure to the patient, the operating room staff and especially the surgeon, since he or she is usually closest to the X-ray generator, has increased. This is a concern over a spine surgeon's career, as the cumulative radiation dose can increase. This increased radiation exposure can result in the risk of a higher incidence of cataracts, thyroid and other cancers to surgeons.
I am very excited about a new product I have just started using for percutaneous pedicle screw insertion called Safe Wire. This unique guide wire can decrease the amount of fluoroscopic X-ray necessary during placement of percutaneous pedicle screws over a guide wire. The unique design of the guide wire is forked or has a "Y" tip that deploys or splays once it exits or is advanced through the distal end of the Jamshidi needle, engaging even the most osteoporotic bone. Once the Safe Wire guide wire is in place, it is next to impossible to inadvertently advance this guide wire through the vertebral body. This can prevent injury to structures anterior to the spine if the guide wire were to be inadvertently advanced through the anterior cortex of the vertebral body, specifically the vessels.
The inability to accidentally advance the Safe Wire guide wire through the vertebral body gives surgeons the confidence to place percutaneous pedicle screws using significantly less fluoroscopic X-ray. This results in less radiation exposure to the patient and OR staff. This is especially true when placing S1 screws, which many surgeons try and place S1 screws bicortically. After tapping the distal cortex of the S1 pedicle screw pilot hole, there is no longer a physical stop to prevent a standard guide wire from advancing anterior to the sacrum possibly injuring the vessels. These vascular structures lay immediately anterior to the sacrum in-line with the S1 screw trajectory.
Utilizing the Safe Wire guide wire technology cannot only decrease the risk of guide wire complications, especially in osteoporotic bone and at S1, but it can reduce the radiation exposure to the patient and operating room staff, including the surgeon.
More Articles on Spine Surgery:
7 Thoughts on How President Barack Obama's Re-Election Impacts Spine Surgery
10 Ways to Destroy Spine Practice Marketing
Goals & Priorities for Spine Surgeons Post Healthcare Reform: Q&A With NASS President Dr. Charles Mick
5 Spine Experts on Most Exciting Technology for Spinal Surgery FeaturedWritten by Laura Dyrda | Friday, 16 November 2012 15:19
Here are five spine surgeons and experts on the most exciting technology for spinal surgery next year.
© Copyright ASC COMMUNICATIONS 2016. Interested in LINKING to or REPRINTING this content? View our policies here.
Most Read - Spine
- Understanding the Impact of the CMS 2017 ASC Payment Rule on Spine Procedures
- 15 spine surgeons discuss techniques revolutionizing spine care
- 26 latest statistics & notes on neurosurgeon salary — Hourly, annual & regional pay
- How 10 spine surgeons are preparing their practice for a Donald Trump presidency
- AMA presents AANS & CNS Washington Office director with Lifetime Achievement Award: 6 highlights
Top 40 Articles from the Past 6 Months
- 20 new MIS spine devices in 2016
- 21 smart spine surgeons with gifted business minds
- 44 MIS spine devices to know | 2016
- Top 12 most-liked spine surgeons on the internet
- Police investigate death of American Spine Center's physician accused in federal kickback scheme: 6 things to know
- Consumer Reports: 34 top-rated US hospitals for hip replacements
- Suicide likely cause of Dr. Sandeep Sherlekar's death, police report shows: 6 things to know
- Dr. George Rappard performs 1st US MIS procedure with Sony heads-up display: 5 observations
- Zimmer Biomet to acquire LDR in $1B transaction — 9 things to know
- Annual & hourly orthopedic surgeon salary — 10 latest statistics
- Trusting a robot — Dr. Juan Torres-Reveron on performing 1st US ROSA Spine surgery
- 12 statistics on social media's presence in the healthcare space
- 5 key notes on the Zimmer Biomet-LDR acquisition & its impact on Texas
- ISSCR updates stem cell research guidelines; warns against stem cell medical tourism — 5 insights
- 38 female spine surgeon leaders to know
- Dr. Gregory Sherr sues HealthEast, CentraCare & 6 neurosurgeons for allegedly ruining his reputation & career — 6 things to know
- Oregon spine surgeon implicated in $22M lawsuit for paralyzing patient with dropped instrument: 5 things to know
- UPMC to pay $2.5M+ to settle neurosurgery-related False Claims Act violation allegations: 7 things to know
- US News & World Report: Top 10 hospitals for orthopedics
- 4 North Carolina orthopedic practices merge to create EmergeOrtho: 5 key notes
- 7 things to know about Mazor Robotics & Medtronic's plans to roll out Mazor X
- The state of minimally invasive spine surgery: Dr. Frank Phillips on devices, payment & outpatient ASCs
- 'Spare the scalpel' — Dr. Brian Cole sheds light on the future of orthopedic medicine in TEDx Talk
- 11 highest-paying states for orthopedic surgeons: New Jersey tops the list at $494.5k
- Beyond the implant — DePuy Synthes pushes innovation inside & out of the OR
- Zimmer Biomet jumps into robotics with MedTech acquisition: 5 things to know
- Orthopedic surgeon Dr. Michael Russin dies following plane crash: 5 key notes
- 34 latest trends in the global orthopedic devices market
- 21 statistics and facts for orthopedic surgeons — compensation, net worth and more
- 19 more things to know about orthopedic bundled payments — September 2016
- Are Stryker's hip implants about to be recalled?
- Trump or Hillary? The physicians have voted
- FDA regulation, insurance coverage: Dr. Raj N. Sureja talks challenges in regenerative medicine
- Do you know what patients really care about when choosing a spine surgeon?
- 13 facts and statistics on Baby Boomers for spine surgeons to know
- 5 trends for orthopedic surgeons to watch in 2017
- 3 orthopedic clinics to pay $2.39M to settle False Claims Act allegations: 5 things to know
- 10 thoughts and statistics on medical malpractice claims against orthopedists
- Evolutionary vs. revolutionary: The future of surgical devices and spine surgery
- Robotics is here to stay — Drs. Kornelis Poelstra & Dennis Devito on working with Mazor technology