December 23, 2019

ISASS Policy Guideline– Surgical Treatment of Lumbar Disc Herniation with Radiculopathy

ISASS Policy Guideline – Surgical Treatment of Lumbar Disc Herniation with Radiculopathy Morgan Lorio, MD, FACS,1 Choll Kim, MD, PhD,2  Ali Araghi, DO,3 Jason Inzana, PhD,4 James J. Yue, MD5 1 Advanced Orthopedics – Altamonte Springs, Florida, 2 Spine Institute of San Diego – San Diego, California, 3 The CORE Institute – Sun City West,  Arizona, 4 Telos Partners, LLC – Denver, Colorado, 5 CT Orthopaedics; Frank H. Netter School of Medicine – Hamden, Connecticut   Abstract Lumbar disc herniation is a frequent cause of low back pain and radiculopathy, disability, and diminution in quality of life. While nonsurgical care remains the mainstay of initial treatment, symptoms that persist for prolonged periods of time are well-treated with discectomy surgery.  A […]
December 10, 2019

ISASS Guideline – Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain

ISASS Guideline – Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain Morgan Lorio1; Olivier Clerk-Lamalice2; Douglas P. Beall3; Terrence Julien4 1Advanced Orthopedics, Altamonte Springs, Florida; 2Beam Interventional & Diagnostic Imaging, Calgary, Canada; 3Clinical Radiology of Oklahoma, Edmond, Oklahoma; 4BayCare Medical Group, Tampa, Florida   Rationale This ISASS guideline is generated to respond to growing requests for background, supporting literature and evidence, and proper coding for intraosseous ablation of the Basivertebral nerve (BVN) for chronic low back pain (CLBP). Introduction Prevalence and Clinical Presentation Low back pain is the most expensive occupational disorder in the United States and the leading cause of disability worldwide1-3. Thirty percent of Americans have low back pain (LBP) at any […]
July 30, 2019

2019 Position Statement from the International Society for the Advancement of Spine Surgery on Cervical and Lumbar Disc Replacements

2019 Position Statement from the International Society for the Advancement of Spine Surgery on Cervical and Lumbar Disc Replacements Gregory D. Schroeder MD, Alexander R. Vaccaro MD, PhD, MBA, Srikanth N. Divi, MD, Ariana A. Reyes, BS, Dhruv K.C. Goyal, BA, Frank  M Phillips MD, Jack Zigler MD Introduction: Cervical and lumbar degenerative disc disease are well known causes of neck and back pain and associated radiculopathy in spine patients. The estimated 1-year incidence rate of neck pain and any episode of lower back pain is 10.4% to 21.3%1,2 and 1.5% to 36%3, respectively. Previous reports demonstrate significant socioeconomic effects of these common conditions.4,5 Many patients respond to initial conservative treatment but in recalcitrant cases,fusion procedures have been widely performed. […]
March 28, 2019

Medicare Reduces Payments to 800 Hospitals Citing Patient Safety Incidences

Medicare announced on March 1, 2019, that 800 hospitals will be paid less by Medicare this year because of high rates of infections and patient injuries. The number is the highest since the federal government five years ago launched the Hospital Acquired Conditions (HAC) Reduction Program, created by the Affordable Care Act. This year, 110 hospitals are being punished for the fifth straight time. The penalties pit hospitals against one another in a race to prevent the most infections, blood clots, cases of sepsis, bedsores, hip fractures and other complications. Each year, the quarter of general hospitals with the highest rates are punished, even if their records have improved from the previous year. Under the announced sanctions, each hospital will lose 1 […]