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
- Understanding the Impact of the CMS 2017 ASC Payment Rule on Spine Procedures
- 15 spine surgeons discuss techniques revolutionizing spine care
- 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
- The top-performing spine surgeons have these qualities in common
Top 40 Articles from the Past 6 Months
- 20 new MIS spine devices in 2016
- 44 MIS spine devices to know | 2016
- 21 smart spine surgeons with gifted business minds
- 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
- 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
- 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
- 4 North Carolina orthopedic practices merge to create EmergeOrtho: 5 key notes
- US News & World Report: Top 10 hospitals for orthopedics
- 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
- 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
- Evolutionary vs. revolutionary: The future of surgical devices and spine surgery
- 10 thoughts and statistics on medical malpractice claims against orthopedists
- Robotics is here to stay — Drs. Kornelis Poelstra & Dennis Devito on working with Mazor technology
- UCLA pays $8.5M to settle 2 lawsuits after undisclosed spine surgeon relationship with Medtronic: 5 key notes
- Medtronic, SeaSpine, Zimmer Biomet & more: 17 key notes
- The efficacy of electrical bone stimulators & ultrasound for bone healing — Dr. Mohit Bhandari weighs in with new evidence