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 your number one tip for developing a productive relationship with payors?
Please send responses to Heather Linder at email@example.com by Wednesday, Feb. 20, at 5 p.m. CST.
Vincent Arlet, MD, Orthopedic Spine Surgeon, KneeFootAnkle Center of Kirkland (Wash.): I would like to see more research on junctional syndromes, such as proximal junctional kyphosis and distal junctional kyphosis, after spinal deformity surgery.
Ara Deukmedjian, MD, Neurosurgeon and CEO, Deuk Spine Institute, Melbourne, Fla.: I would like to see research on the joints of the spine. Spinal joints are the cause of back and neck pain over 90 percent of the time and can be effectively treated without surgery in most patients. Your doctor must know which joint is painful in order to perform the correct treatment. Unfortunately, even if the doctor comes up with the correct diagnosis, many are not qualified to perform the treatment correctly. Unless patients are willing to travel, many are destined to live in pain for years.
Jeffrey Goldstein, MD, Director of Spine Service, NYU Langone Medical Center's Hospital for Joint Diseases: The importance of preservation and restoration of sagittal spinal alignment is becoming better recognized and understood. The first step is more studies which continue to evaluate the effect of changes on sagittal alignment and outcomes, adjacent segment degeneration and need for revisions. The second step is to "manage" or "program" sagittal alignment with interbody cages and instrumentation which allow us to enhance lumbar lordosis, for example.
Secondly, with regard to fusion, I would like to see research into surface technology which can enhance interbody fusion. Surface treatments can enhance primary fixation. The next generation of surface structures will allow us to move from a random morphology to a predetermined surface which can direct bony in-growth.
Jeffrey Wang, MD, UCLA Spine Center: I think the future is in the biological realm. Research into the basic mechanisms of the disease processes and developments in biological treatments are the future. In our laboratory, we are working on many novel basic science applications that I would like to see translated into better treatments for our patients. I think we are very close to improving bone healing with faster spinal fusions and with fewer complications. I would like to see biological treatments for disc pathologies come to a realization over the next five years that allow us to have better treatments for our patients and better outcomes. We have a lot of spinal devices and hardware, but in reality, research into the basic mechanisms to understand spinal disease processes will give us a great understanding of our patients' conditions and how to best treat them in the future.
More Articles on Spine:
Shriners Hospital for Children Purchases EOS Imaging System for Spine
Economics, Politics & the Independent Spine Surgeon: Q&A With Dr. Craig Callewart
Can Spine Surgeons Legally Own Interest in ASCs?
Where Should Spine Research Focus? 4 Surgeons Weigh In FeaturedWritten by Heather Linder | Thursday, 14 February 2013 14:15
Four spine surgeons discuss spine-related research.
© Copyright ASC COMMUNICATIONS 2016. Interested in LINKING to or REPRINTING this content? View our policies here.
Most Read - Spine
- Oregon spine surgeon implicated in $22M lawsuit for paralyzing patient with dropped instrument: 5 things to know
- UCLA pays $8.5M to settle 2 lawsuits after undisclosed spine surgeon relationship with Medtronic: 5 key notes
- Do you know what patients really care about when choosing a spine surgeon?
- The state of minimally invasive spine surgery: Dr. Frank Phillips on devices, payment & outpatient ASCs
- The role of the surgical microscope in modern MIS spine — Drs. K.D. Riew, Michael Mayer, Roger Härtl & Mohd Hisam Muhamad Ariffin share their experiences
Top 40 Articles from the Past 6 Months
- 22 spine surgeon leadership awards | 2016
- Has Xenco Medical Ushered in the Future of Spine Surgery?
- Zimmer Biomet, Stryker, J&J & more: 26 key notes — AAOS edition
- Dr. James Andrews #5 among richest doctors in the world: 6 points
- Beyond the device: How DePuy Synthes is innovating in orthopedic & spine technology
- Orthopedic surgeons generate $2.7M for affiliated hospitals; 5.5 times what they make — 5 survey findings
- CJR bundles to pay $25k per episode: 8 statistics on cost breakdown
- Dr. Kevin Pauza unsurprised with Tiger Woods' slow back surgery recovery: 5 insights
- Top 10 highest-earning physician specialties — Orthopedics leads for 6th consecutive year
- Novel technologies make a splash in outpatient spine setting — Dr. Nick Shamie weighs in
- PODs under attack again: 5 key notes from the Senate Finance Committee's report
- Where global spine market leaders are headed: 7 key notes on Medtronic, DePuy Synthes, Stryker & more
- 6 statistics on orthopedic surgeon compensation — Which practice setting pays most?
- 21 smart spine surgeons with gifted business minds
- CMS's lowest vs. highest-paid physicians: 5 key points
- Consumer Reports: 34 top-rated US hospitals for hip replacements
- Top 12 most-liked spine surgeons on the internet
- Dr. George Rappard performs 1st US MIS procedure with Sony heads-up display: 5 observations
- Siemens, Ziehm, GE, Hologic, OrthoScan & Medtronic: 26 O-arm & C-arm systems
- 5 trends in complex spine surgery
- Which 4 emerging trends will drive the global spine surgery market?
- Orthopedic surgeons leave Salina Regional over on-call payment dispute: 5 things to know
- Andrews Institute adds regenerative medicine, stem cell center: 5 things to know
- Annual & hourly orthopedic surgeon salary — 10 latest statistics
- ISSCR updates stem cell research guidelines; warns against stem cell medical tourism — 5 insights
- The low hanging fruit of HIPAA compliance: 8 best practices
- Stryker launches Aero-C spinal fusion implant: 5 key notes
- Zimmer Biomet to acquire LDR in $1B transaction — 9 things to know
- The great PA debate: Should spine surgeons hire them?
- Surgeon entrepreneur: Dr. Kern Singh's quest to make lateral spine surgery more accessible
- MIS spine's promising future — Key insights from SMISS President Dr. Greg Anderson
- Trusting a robot — Dr. Juan Torres-Reveron on performing 1st US ROSA Spine surgery
- 87% of solo practitioners to face MIPS penalty in 2019 — 6 statistics on how Medicare's new payment model may impact solo physicians & small practices
- How Responsive Orthopedics defied the industry norm to make knee, hip devices more affordable — 6 key insights
- Paradigm Spine pays $585k in False Claims Act settlement; denies allegations: 5 things to know
- UPMC to pay $2.5M+ to settle neurosurgery-related False Claims Act violation allegations: 7 things to know
- 5 key notes on the Zimmer Biomet-LDR acquisition & its impact on Texas
- 12 statistics on social media's presence in the healthcare space
- Bundled payments to account for 30%-45% of spine reimbursement in 3 years: 4 insights
- More than half of hospital orthopedic programs unprepared for CMS joint replacement program: 7 takeaways