Becker's Spine Review

13 SPINE SURGEONS Surgeons perform 1.62M instrumented spinal fusions per year in the US: 5 notes By Laura Dyrda T here are more than 1 million instrumented spinal procedures performed in the U.S. annually, according to an iData Research report. e report authors analyzed data from several sources, including hospitals and government organizations, and exam- ined hundreds of CPT and ICD codes for the report. Five things to know: 1. Surgeons perform around 1.62 million instrumented spinal procedures every year, including surgeries that involve multiple procedures in the same visit. 2. ere were more than 352,000 inter- body fusions performed during the year examined in the report, making it the most common procedure. 3. In 2017, the report estimated that 85.5 percent of cervical fixation procedures in the U.S. were anterior, while the remain- ing were posterior. However, the analysts said, "Posterior procedures are gaining popularity and are expected to increase more rapidly than anterior procedures." 4. While the number of spinal fusions is expected to increase, iData CEO Kam- ran Zamanian, PhD, expects growth to slow in the future due to the "increasing prevalence of cervical artificial discs." 5. While minimally invasive procedures have gained popularity, the report sug- gests a "significant portion" of interbody spinal fusions require the standard surgi- cal methods. n Indiana spine, neurosurgeon group refuses to become employed at IU Health, jeopardizing relationship: 5 details By Laura Dyrda G oodman Campbell Brain and Spine is at odds with IU Health, both based in Indianapolis, over a future relationship and agreements, according to the Indi- anapolis Business Journal. Five things to know: 1. The two sides have worked together in the past, however IU Health seeks to make Goodman physicians employees by next year. The group is currently independent and not exclusive with IU Health. 2. Goodman Campbell's around 50 physicians prefer to remain independent. The group hopes to open a new office in Carmel, Ind., in the summer. 3. Going forward, IU Health is building a neurosurgical team, and currently has five former Goodman Campbell pediatric neurosurgeons that joined IU Health Physicians, which became an employed group in May. 4. IU Health physicians also became faculty members at the IU School of Medicine, where Goodman Campbell physicians currently serve as staff members. 5. IU Health wants to bring their physicians in network to improve care coordination. n Stryker Q1 spine sales up 38.6% in US after K2M acquisition: 6 things to know By Laura Dydra S tryker reported 8.5 net sales growth in the first quarter of 2019. Six things to know: 1. Net sales hit $3.5 billion for the quarter, and orthopedics net sales were up 2.8 percent to $1.3 billion. Organic net sales were up 5 percent, including a 7.1 percent increase in unit volume. 2. Neurotechnology and spine sales were up 20.7 percent to $700 million. The organic net sales increased 7.8 percent in the quarter, including an 8.9 percent unit volume increase. Spine sales were driven by a 38.6 percent sales increase in the U.S.; the neu- rotechnology sales were up 16.1 percent at $465 million. 3. Knee sales were up 4.9 percent, hitting $439 million for the quarter. Hip sales were up 1.5 percent to $336 million while trauma and extremities increased 1.7 percent to $396 million. 4. Earnings hit $412 million, a 7 percent drop over the same period last year. 5. Stryker expects organic net sales growth will be 6.8 percent to 7.5 percent, with ex- pected adjusted net earnings per diluted share between $8.05 and $8.20. 6. U.S. sales were up 11.5 percent to $2.5 billion, while international sales increased 1.1 percent to $937 million. n

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