• 'The numbers don't lie': Endoscopy to become more prominent among next generation of spine surgeons
  • Minnesota orthopedic group hit with $111M negligence verdict
  • Orthopedic patient's death highlights potential dangers of prior authorization
  • Spine surgeon killed in Oklahoma hospital shooting
  • Neurosurgeon accepted $3.3M in illegal payments to perform spine surgeries at hospital
  • Spine surgeon gets jail time for abusing patient during hospital visit
  • Providence to pay $22.7M to settle unnecessary spine surgery allegations
  • Texas spine surgeon defending himself from 'Dr. Death 2.0' allegations
  • 'They're on really thin ice': Why 1 insurer has drawn spine surgeons' ire
  • Orthopedic surgeon must face suit in patient's death
  • Spine surgeon 1 of 9 physician billionaires on Forbes' 2022 list
  • Connecticut hospital to appeal $12.5M verdict to family of patient who died after orthopedic surgery
  • 4 spine technologies that promised more than they delivered
  • Orthopedic surgeon's health system exit steeped in controversy
  • Terminated orthopedic surgeon contracts with another New York hospital
  • Texas spine surgeon sued by State Farm over 'unnecessary' procedures
  • 22 hospitals ranked top 25 orthopedic hospitals 3+ years in a row
  • Orthopedic surgeon convicted of battery at hospital
  • UArizona neurosurgery chair dies after motorcycle collision
  • America's largest independent practices by number of spine surgeons
  • Could Medtronic's spine business be the next medtech spinoff?
  • 41 'rising stars' in orthopedics
  • Idaho orthopedic surgeon arrested for alleged misconduct at practice
  • Neurosurgeon's startup hits $1.2B valuation
  • Orthopedic surgeon indicted in $10M telemedicine fraud scheme
  • Orthopedic surgeon salaries in the 5 best, worst states for healthcare
  • New Jersey hospital must pay neurosurgeons $24.3M, appeals court rules
  • Good news, bad news for orthopedic surgeons: 6 observations
  • Why private equity is bettering orthopedics, 3 physician leaders say
  • Florida hospital patients say they were injured during surgeries. Now a physician faces 350 lawsuits.
  • Texas spine surgeon's $11M verdict being appealed
  • A Rutgers physician accused of 'ghost surgeries' will return — but with fewer responsibilities
  • Top orthopedic hospital in every state: US News
  • Rothman Orthopaedics to become national brand, but no 'aspirations to go beyond US'
  • Sports medicine physician fired amid misconduct allegations involving patients
  • Orthopedic surgeon asking for misconduct charges to be dropped
  • Unnecessary spine cases spur class action lawsuit
  • Colorado Supreme Court rejects hospital's bid to enforce $229K spine surgery bill
  • Jury finds neurosurgeon largely responsible for paralysis, awards $15.5M in damages
  • Dr. Jon Yoon performs NHL's 4th disc replacement in 7 months
  • 'The numbers don't lie': Endoscopy to become more prominent among next generation of spine surgeons
  • Neurosurgeon accepted $3.3M in illegal payments to perform spine surgeries at hospital
  • Carson Daly has 2nd spine procedure in 3 months
  • Spine surgeon steps down as CEO of biologics company
  • 2 professional athletes undergo spine surgery in a week
  • How the pandemic is changing spine surgery: 5 surgeon insights

    How the pandemic is changing spine surgery: 5 surgeon insights

    Alan Condon -  

    From the acceleration of outpatient migration to the increasing popularity of certain spinal approaches, five spine surgeons discuss how the COVID-19 pandemic has altered the field:

    Note: Responses have been lightly edited for clarity.

    Greg Gullung, MD. OrthoAlabama (Birmingham): Medicine in general has always had a tradition of cooperation and sharing of information, and I think this must continue now and in the future. Due to the current medical climate, many practices are forced to evaluate daily operations with a more business-minded approach, but we must remember to continue sharing knowledge, tips and personal assistance to colleagues locally and internationally. This way the maximum number of patients can have access to the highest quality of care. One must also be open to taking on extra patient care responsibility; be it clinical, emergency or consultations, given the probability that physician availability may be limited during the current crisis.

    Daniel Lieberman, MD. Phoenix Spine & Joint: Due to COVID, we are seeing more patients having spinal fusions in the ASC, as many of them are not willing to go to the hospital. In the past, a patient and surgeon may have opted to do the procedure at the hospital. Now, we're seeing the opposite. Patients are telling surgeons that they will not have their procedure done at a hospital. Similarly, surgeons are recalibrating risks for ASCs, because the risk of going to the hospital is higher. 

    We're seeing rapid growth in the number of surgeons who want to operate primarily in an ambulatory setting. We initially thought the transition to the ASC environment was going to take place over the next five to 10 years, but now I think it's going to over the next one to five years. 

    Jeffrey Cantor, MD. Cantor Spine Institute (Fort Lauderdale, Fla.): COVID-19 gave one gift to spine surgeons that is desperately needed and never available — time. Time to think. Time to critically look at our processes, both nonsurgical and surgical. Time to review our cases, digest data and understand what we are doing well, and more importantly, what we are not. Time to develop ways to better help our patients. 

    Raymond Gardocki, MD. Vanderbilt University Medical Center (Nashville, Tenn.): Since COVID, I've been doing almost all my lumbar surgeries, such as decompressions and discectomies, as an awake procedure. That was one of the benefits of COVID. It minimizes the anesthesia complications, such as nausea, sore throats and urinary retention, especially for elderly patients. As a surgeon, we kind of just accept the complications that can be associated with general anesthesia, because you might think "what other options are there?" That's where awake surgery comes in, but you have to do the surgery in a way that's not very painful or invasive for the patient. 

    James Lynch, MD. SpineNevada (Reno): COVID-19 has really revolutionized telemedicine. There were so many barriers to it in the past. Patients were not all that into it. There were also concerns about data sharing, regulations, cost and payments. But CMS really came in and changed [telemedicine] entirely. Patient adoption has been huge. We did telemedicine over five years ago. It cost over $10,000 to reach out to remote areas in Nevada; now you can do it on an iPhone or an iPad with no added cost.

    Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

    Featured Webinars

    Featured Podcast

    Featured Whitepapers