What’s next for outpatient spine surgery

From “awake spine” procedures to construction on new outpatient spine centers across the country, here are three areas to keep an eye on in outpatient spine surgery:

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New outpatient spine centers

New York City-based Hospital for Special Surgery and Naples, Fla.-based NCH broke ground in November on a center that will offer both inpatient and outpatient care. It is slated to open in early 2025.

Meanwhile, construction began on a $123 million orthopedic and spine surgery center in Los Angeles that will feature four operating rooms and offer robotic surgery and imaging services. It will be operated by Docs Health and is expected to open in 2026.

Competing prices in the outpatient setting

The costs of some of the most common orthopedic procedures, including hip arthroscopy, ACL knee surgery and arthroscopic bicep and rotator cuff arthroscopic repair, are lower on average at orthopedic ASCs than hospital outpatient departments.

New techniques and technologies

The Oregon Health & Science University in Portland recently saw its first “awake spine” procedure — the surgical removal of a herniated disc without the use of general anesthesia —  in December.

A surgery team including anesthesiologist Kevin Blaine, MD, and neurosurgeon Josiah Orina, MD, performed a minimally invasive microdiscectomy using only local spinal anesthesia.

Meanwhile, Miami Spine Specialists performed the first procedure using Captiva Spine’s WatchTower navigation system in an ASC setting. The system was used by Jonathan Hyde, MD, in a minimally invasive lumbar spinal fusion in October.

It was designed with the intent of reducing radiation exposure to patients and staff and utilizes preoperative scans and imaging to provide navigation in real-time throughout the procedure.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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