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The needs of spine surgeons and the needs of hospital leaders are unique, and this can lead to challenges in conversations between the parties.

In recent years, spine and orthopedic devicemakers have merged and acquired smaller companies.

Payer negotiations have been a challenge for some spine surgeons, especially with evolving reimbursements and financial headwinds.

The advent of new spinal technologies makes spine surgeon Rachel Bratescu, MD, eager about the specialty's future.

Rachel Bratescu, MD, is the first female spine surgeon at New York City-based Och Spine at NewYork-Presbyterian, and she hopes more will follow her lead.

Philadelphia-based Rothman Orthopedic Institute spent the first half of 2024 overcoming financial headwinds and expanding its footprint, said Rothman President Alex Vaccaro, MD, PhD.

Private equity in spine and orthopedics has grown in the private practice space, but hospital employed surgeons are also thinking about the larger implications in the field.

Max Kahn, MD, and Sohail Syed, MD, said they're both optimistic about the direction endoscopic spine surgery is taking, and they see its growing potential in spinal care. 

Spine surgeon Shannon McCanna, MD, has one key factor in mind for all of his cases — functionality.

Spine surgeons should approach leadership with a quiet confidence and an understanding of three different areas they have to take charge, Philip Louie, MD, of Seattle-based Virginia Mason Medical Center.