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Several factors have come together in the past few months to create a perfect storm of disincentives to spine surgeon inventors.

A recent study in The American Journal of Managed Care found more than half of physicians write their prescriptions electronically, eight times as many who wrote e-prescriptions as of 2008.

Biomet reported its net income at $31.1 million for the first quarter of 2014, despite spine sales coming in 6.6 percent lower than the same period last year.

An article published earlier this year in the Journal of the American Medical Association examined the impact of surgical complications on hospital finances.

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