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6 SPINE SURGEONS Top 25 Hospitals for Neurology and Neurosurgery: US News & World Report 2017-18 Rankings By Laura Dyrda U .S. News & World Report released the 2017-18 Best Hospital rankings, including specialty rankings for neu- rology and neurosurgery services. e top ranked hospitals for adult neurology and neurosurgery include: 1. Mayo Clinic (Rochester, Minn.) 2. Johns Hopkins Hospital (Baltimore) 3. Massachusetts General Hospital (Boston) 4. NewYork-Presbyterian Hospital (New York City) 5. UCSF Medical Center (San Francisco) 6. Cleveland Clinic 7. Barnes-Jewish Hospital (St. Louis) 8. University of Michigan Hospitals and Health Centers (Ann Arbor) 9. Northwestern Memorial Hospital (Chicago) 10. NYU Langone Medical Center (New York City) 11. Ronald Reagan UCLA Medical Center (Los Angeles) 12. Hospitals of the University of Pennsylva- nia-Penn Presbyterian (Philadelphia) 13. Stanford (Calif.) Health Care-Stanford Hospital 14. Cedars-Sinai Medical Center (Los Angeles) 15. St. Joseph's Hospital and Medical Center (Phoenix) 16. Mount Sinai Hospital (New York City) 17. Rush University Medical Center (Chicago) 18. Houston Methodist Hospital 19. Brigham and Women's Hospital (Boston) 20. UPMC Presbyterian Shadyside (Pittsburgh) 21. omas Jefferson University Hospitals (Philadelphia) 22. Ohio State University Wexner Medical Center (Columbus) 23. DMC Harper University Hospital (Detroit) 24. Ochsner Medical Center (New Orleans) 25. Beaumont Hospital-Royal Oak (Mich.) n The Power of 3-D Navigation in MIS Spine Surgery By Mary Rechtoris M ichael J. Musacchio Jr., MD, spine surgeon at Glenview, Ill.-based NorthShore University HealthSystem's Neurological Institute and clinical assistant professor at University of Chicago, discussed how spine surgeons can thrive in healthcare moving for- ward and key innovations advancing the spine field. Question: How can spine surgeons today keep pace with the many changes unfolding in the healthcare in- dustry? Dr. Michael Musacchio: For spine surgeons to keep pace with the rapid changes in healthcare, they must learn mini- mally invasive surgery and navigation techniques. Patients expect to have minimal scarring, shorter recovery times and smaller incisions to minimize muscle damage around the spine. Having a command of computer-assisted nav- igation and image-guided techniques is essential to ad- vance MIS. Spine surgeons also need to be cost conscious of implants. It is an important part of the patient quality care equation. Good relationships with hospitals and industry suppliers are crucial. Surgeons also need to document surgical indi- cations and treatment rationale clearly to avoid insurance denials and delays. Lastly, surgeons need to stay up with the spine literature and attend meetings to ensure they are delivering the best evidence-based care to their patients. Q: What major innovations have changed the spine field and where will spine surgery trend within the next five years? MM: Technology is the game changer for spine surgeons and their patients, especially 3-D capabilities. A paradigm shift is in play; 3-D navigation has improved accuracy and safety of screw placement and the overall procedure. It has further ad- vanced minimally invasive techniques and it reduces, if not eliminates, redo surgeries for screw misplacement. Robotics has better enabled the integration of 3-D naviga- tion through software to aid in deformity correction. Defor- mity correction technologies include pre-op planning soft- ware, intra-operative assist devices, rod benders and more. Over the next five years, we will see a full conversion to 3-D navigation in spine surgery, further simplifying procedures, and that will mostly benefit patients in need of correcting deformities. Meanwhile, 3-D printing and custom implants are provid- ing a better fit for patients, resulting in potential cost re- ductions. n