While there are limitations to the level of complexity spine surgeons can address in the ASC, there are several procedures that could be performed in an outpatient ASC in the future, depending on the patient’s comorbidities.
“Cervical conditions, such as cervical radiculopathy and myelopathy, most people think you can have good outcomes with those in the ASC,” Dr. Siemienow said. “Anterior cervical discectomy and fusion is an ideal population for the surgery center as well as one-level disc arthroplasties.”
Dr. Siemienow touched on several studies supporting the efficacy of ACDF procedures and comparing the use of autograft and allograft with PEEK cages. “The PEEK cages can have excellent outcomes when compared with iliac bone crest,” said Dr. Siemienow. His presentation also looked at:
• Generation of plates to dynamic plates
• Fusion procedures
• Revision operations
“For some of the patients we see, there are fluid shifts, but some are healthy and I don’t see any reason why these cases can’t be performed in the outpatient setting,” he said. “Fusions can be performed safely and most patients are very satisfied with their outcomes.”
More Articles on Spine Driven ASCs:
How to Assess the Profitability of Orthopedic and Spine Cases
Key Business and Clinical Issues With Moving Spine Procedures to ASCs
5 Best Clinical Practices, Business Strategies for Spine-Driven Centers
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.