Becker's Spine Review

Becker's Spine Review April 2014 Issue

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INDEX Table of Contents p. 6 Minimally Invasive vs. Open Spine Surgery p.9 Spine Device & Innovation p. 24 Spine Surgeon Roundtable p. 45 Practice Management p. 48 20 Cutting-Edge Innovations in Spine Stem cell technology and pedicle screw advancement featured alongside some of the biggest advancements in spine technology and techniques. p. 39 Future of Spinal Fusion Where spinal fusions and BMP are today post-YODA and what to look for in the future. p. 37 Cost-Effectiveness How minimally invasive spine surgery costs compares to open procedures. p. 12 Spine Moneyball How analytics will impact spine care over the next five years. p. 18 Biologics: The Next Frontier? New biological developments in the spine field could revolutionize spine care and improve back pain treatment. p. 24 Cervical Artificial Disc Replacement: What the Long-Term Data Means for Spine By Laura Miller Spinal arthroplasty has been on the cutting edge of spine technology and technique development for the past de- cade. While some surgeons rushed to adapt the new tech- nology as an alternative to fusion, others waited to see whether these procedures delivered on the promise of bet- ter outcomes. NASS President Dr. William Watters: Evidence-Based Medicine, Healthcare Reform & Reimbursement in Spine By Laura Miller William Watters III, MD, a spine surgeon with Bone & Joint Clinic of Houston, became president of the North American Spine Society at its annual meeting in November 2013. Over the years, surgery in most spe- cialties has become less invasive to preserve the patient's natural anatomy and achieve quality outcomes. Spine is no different; however, the explosion of minimally invasive techniques over the past decade has caused controver- sy as well as realized benefit. "One of the things that makes spine surgery so exciting is the sustained growth of knowledge and technol- ogy in the field," says Brian Grossman, MD, of Southern California Ortho- paedic Institute in Van Nuys. "It is incumbent on the spine surgeons to keep up with the growth of knowl- edge in the field and adopt those techniques which are supported by evidence and they personally feel al- low them to do a better job in the OR." Several compounding factors will impact how minimally invasive spine surgery is received in the future: • Long-term quality and cost comparisons; • Technology development; • Training techniques; • Patient demand; • Downward pressure on reim- bursements. continued on page 15 continued on page 10 continued on page 30 INSIDE: 15 Spine Device Awards; 12th Annual Spine, Orthopedic & Pain Management-Driven ASC + The Future of Spine Conference Brochure SPINE REVIEW April 2014 • Vol. 2014 No. 2 Minimally Invasive vs. Open Spine Surgery: Where the Field is Headed By Laura Miller 12th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine June 12-14, 2014 • Chicago To learn more or register, visit www.beckersasc.com/beckers or call (800) 417-2035 132 Sessions • 168 Speakers • 63 Physician Leaders • 28 CEOs Keynote Debate: Former U.N. Ambassador & Republican Diplomat John Bolton Former Six-Term Democratic Governor of Vermont Howard Dean

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