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Spine


The hardest spine operations can require extensive planning, hours in the operating room and significant resources before and after surgery. But the systems that pay for that care do not always recognize what makes one case substantially more complex than…

For Emeka Nwodim, MD, the future of independent medicine may hinge on a seeming contradiction: Physicians may have to get bigger to remain independent. The economics that once allowed an orthopedic practice to thrive largely by seeing patients and performing…

For most spine surgery patients, preoperative workup follows a familiar script: bloodwork, imaging of the area to be operated on, maybe a cardiac clearance if there’s a history of heart disease. Bone health rarely makes the list. Every fusion patient…

Reoperation is the single biggest driver of lost cost-effectiveness in spine surgery, and one University of California San Francisco surgeon-researcher is building a dataset aimed at proving that shorter follow-up windows can still predict long-term success. Praveen Mummaneni, MD, professor…

Spine surgeons spend years learning when and how to operate. Recent Becker’s conversations suggest another skill becomes increasingly important with experience: knowing when not to. For some patients, that means surgery is unlikely to improve the symptoms driving the visit.…

Malpractice disputes in spine surgery can involve decisions made before, during and after an operation. Recent Becker’s coverage of lawsuits, verdicts and surgeon perspectives has included questions around the decision to operate, informed consent, postoperative monitoring and emerging liability concerns…

UnitedHealthcare recently announced it’s cutting prior authorization requirements by 30%, including for some outpatient surgeries, by the end of 2026.  Four surgeons connected with Becker’s to share their reaction to the announcement and how prior authorization has shaped their practices.…

Bone Biologics has doubled the number of Australian hospital sites participating in its first-in-human pilot clinical trial of NB1, its bone graft product for spinal fusion. Six hospital sites are now under agreement to participate in the trial. The company…

Cancer treatment is giving some patients with metastatic disease something they once rarely had: time. That is changing the calculus of spine surgery. Not long ago, a prognosis measured in months could largely determine whether a patient with metastatic spinal…

Further payment cuts are the factor most likely to make spine surgeons reconsider Medicare participation, according to a recent Becker’s LinkedIn poll. Among 112 respondents, 53% selected further payment cuts. Prior authorization ranked second at 18%, followed by administrative burden…

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