Becker's ASC Review

50 ORTHOPEDICS 40-physician OrthoAtlanta partners with Piedmont Healthcare on new venture: 4 details By Laura Dyrda OrthoAtlanta partnered with Atlanta-based Piedmont Healthcare to create Piedmont Orthopedics. Four things to know: 1. The partnership took effect Feb. 1 and aims to provide mus- culoskeletal and sports-related care across Georgia. OrthoAt- lanta has 40 physicians and physiatrists as well as 37 advanced practice providers. 2. Both organizations provide care for the state's elite athletes; Piedmont is the official healthcare provider for the University of Georgia Athletic Association and sponsor of Atlanta United FC while OrthoAtlanta also provides coverage for Atlanta United FC, the Atlanta Gladiators and Clayton State University Athletics. 3. OrthoAtlanta has 13 integrated musculoskeletal centers and seven outpatient imaging centers. It also has two ASCs and 13 outpatient physical therapy sites. 4. Piedmont is a nonprofit health system with more than 750 locations serving 2.5 million patients in Georgia. n DMC loses appeal to keep neurosurgical residency: 4 details By Laura Dyrda T he Accreditation Council of Graduate Medical Educa- tion denied Detroit Medical Center's appeal to keep its neurosurgery residency program, according to The Detroit News. Four things to know: 1. The accrediting body withdrew accreditation last September after investigating the DMC neurological surgery residency pro- gram. The ACGME was tipped off about issues with the program by a former resident. 2. DMC CEO Audrey Gregory, PhD, RN, said the hospital plans to re-establish its neurological surgery residency program, which currently has 12 residents enrolled. 3. The seven-year program will lose its accreditation in June. 4. Four of six physicians in the neurosurgery residency program left University Physicians Group when it declared bankruptcy in November 2018 to become DMC employees, and Wayne State University terminated the neurosurgeons' faculty appointments when they became DMC employees. The two other in the pro- gram left DMC all together. n Breaking down the 3 major robots in spine surgery By Alan Condon I n 2004, Mazor SpineAssist became the first robot ap- proved by the FDA to guide the placement of pedicle screws. Robotics has developed rapidly since then, with three systems leading the field in robotic-assisted spine surgery. Everything you need to know about the three major spine robots: ExcelsiusGPS (Globus Medical) Globus Medical acquired Excelsius in 2014 for an estimated $40 million and earned CE Mark approval for ExcelsiusGPS in the European Union in January 2017. e FDA provided 510(k) clearance for the system in August 2017. e device combines a robotic arm with navigation to improve accuracy in the placement of screws during spine surgery and reduce radiation exposure for the surgical team. e platform is priced at about $1.5 million and supports screw placement in several approaches, including posterior cervical, posterior thoracic sacroiliac and posterior lumbar. Mazor X (Medtronic) In December 2018, Medtronic completed the acquisi- tion of Mazor Robotics in a $1.7 billion deal, as part of its plan to combine its spinal implants, navigation and 3D imaging technology with the Mazor X robotic guidance system. One month later Medtronic launched the Mazor X Stealth Edition for spine surgery, which allows surgeons to create personalized 3D surgical plans before surgery and holds surgical instrumentation in place with a robotic arm dur- ing spine procedures. e Mazor X costs about $850,000 with each surgery resulting in about $1,500 in disposables sales. ROSA Spine (Zimmer Biomet) In 2016, Zimmer Biomet acquired Medtech SA for at least $132 million. Medtech developed the ROSA Brain and ROSA Spine robotic-assisted surgery systems, which cost about $700,000 each. ROSA Spine was cleared by the FDA in 2016, but the company's new technology — the ROSA One Spine Sys- tem — received FDA approval in March 2019. ROSA ONE Spine also combines robotics and navigation with real-time patient tracking capability, assisting sur- geons in minimally invasive and complex thoracolumbar spine procedures. n

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