Drs. Leo Spector and Alden Milam of OrthoCarolina discuss trends in spine patient care

Two fellowship-trained spine surgeons — Leo Spector, MD, and Alden Milam, MD — of Charlotte-based Ortho Carolina Spine Center provided their insight into future spine care trends.

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Q: What technology do you see having the biggest impact on spine patient care?

Dr. Leo Spector: Robotics and image guidance. Multimodal pain care. These technologies will help the transition from high cost centers to lower cost alternatives.

Dr. Alden Milam: Minimally invasive technologies are allowing us as surgeons to treat pathology that once required much bigger incisions and muscle dissection. 

Q: How do you see outpatient spine procedures developing in the future?

LS: Exponentially. More and more care will transition from traditional high cost locations to lower cost alternatives for elective spine care.

AM: As we provide better pain relief with multimodal analgesia and anesthesia, more complex surgeries will be capable of being done in outpatient settings.

Q: How has your patient population changed over the past five years? How do you expect it to evolve in the future?

LS: I expect patients to become more informed and engaged in their care.

AM: Patients are more open to outpatient surgery now compared to five years ago, particularly when it lowers their cost of care. As we provide better pain relief with multi-modal analgesia and anesthesia, patients are getting good postoperative pain control and do not have to worry about the spikes in pain. 

Q: What is one program your practice has implemented that you’re particularly proud of, and why?

LS: Surgical optimization for lumbar fusions. Trying to improve patient outcomes by addressing modifiable risk factors prior to elective surgery delivers a higher quality of care for our patients.

More articles on Q+As:
Dr. Christopher Kager, angel venture capital firm eye innovation in healthcare technology
Dr. Robert Gewirtz: AI in spine, changing patient populations and the future of outpatient procedures
Dr. Adam Bruggeman: A spine surgeon’s most important OR trait and bundled benchmarks in spine

At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

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