Editor's Note Spine surgeons are sounding the alarm about high numbers of unnecessary fusion surgeries, according to a March 5 report in Becker’s Spine Review. Unnecessary surgeries refer to any surgical intervention that is not needed or in the patient’s best interest. A recent report from Forbes finds that 50%…
Editor's Note Although lumbar disc herniation surgery can alleviate symptoms of back pain and even prevent disability, the costs exceed the benefits for a sizeable minority of patients, researchers write in a study published February 7 in Jama Network. To address this concern, they investigated whether machine learning algorithms that…
Editor's Note A recent double-blind, randomized controlled trial could not prove that minimally invasive sacroiliac joint fusion was any more effective than sham surgery in treating severe sacroiliac joint pain. “With these findings, there should be discussion in the medical community whether an irreversible surgical procedure with related risks and…
Editor's Note Spinal surgeons seeking a better standard of care now have an alternative to traditional scanning that exposes patients to levels of radiation equivalent to multiple X-rays. Highlighted in LA Weekly on December 19, the PathKeeper 3D optical and navigation system uses high-resolution 3D optical cameras to provide real-time…
Editor's Note A patient with Parkinson’s disease was able to walk normally again thanks to a surgical implant of an experimental spinal cord neuroprosthesis. The findings were published in the journal Nature on November 6 under the article title, "A spinal cord neuroprosthesis for locomotor deficits due to Parkinson’s disease." …
Editor's Note In a first of its kind surgical procedure, doctors have installed artificial intelligence (AI) implants in the brain of a 46-year-old man who was paralyzed from a fall on the ice, CNN September 27 reports. The AI implant formed a "digital bridge"–an idea pioneered by the French neuroscientist…
Editor's Note The American College of Surgeons (ACS), on September 12, announced a new quality improvement (QI) project that will evaluate the most effective ways to help patients safely manage postoperative pain and reduce the risk of opioid dependence. The project will be conducted in collaboration with Health Care Service…
Editor's Note This study from researchers at Carolina Neurosurgery and Spine Associates and SpineFirst, Atrium Health, Charlotte, North Carolina, examines the cost-utility of anterior cervical discectomy and fusion (ACDF) performed in an ASC vs an inpatient hospital setting at 1-year follow-up. A total of 6,504 patients having 1-to 2-level ACDF…
Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…
Editor's Note In this British Medical Journal editorial, experts say that female healthcare workers (HCWs) need better protection of their breast tissue from routine ionizing radiation, and they urge implementation of more rigorous radiation protection standards. The experts make the following recommendations: reducing the duration of exposure increasing the distance…