August 22, 2014

ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion

ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion Morgan P. Lorio, MD, FACS Neuro-Spine Solutions, Bristol, TN Ralph Rashbaum, MD Texas Back Institute, Plano, TX This paper was originally published here. A PDF version of the Policy Statement is available here. Background The sacroiliac (SI) joints are paired diarthrodial articulations of the sacrum and ilium and serve as the connection between the spine and pelvis. The small amount of motion in the joint (2-4 degrees) occurs primarily through nutation and counternutation of the sacrum.¹ There are no muscles that cross solely the SI joint, thus there are no prime movers. Instead, movement is dependent on the articulations and movement within the lumbopelvic hip complex (e.g. flexion at the hip results in […]
June 11, 2014

ISASS Now a Member of AMA House of Delegates

Today after much hard work and diligence, ISASS was awarded a seat at the table of the House of Delegates (HOD) of the AMA. Gunnar Andersson, MD, PhD, ISASS President was handed a clicker and began voting on your behalf. “Today ISASS became a member of the AMA House of Delegates, this gives us a seat at the table of the organization that makes decisions at the [Current Procedural Terminology] and [Relative Value Scale Update] Committees,” said Andersson of this accomplishment. The CPT Editorial Panel is engaged in an ongoing process improvement effort which currently includes re-examination of the CPT Category I and Category III criteria. This is a very significant milestone for ISASS it is important for ISASS members […]
April 25, 2014

ISASS Responds to CBS Spinal Fusion Segment

CBS recently highlighted the fact that spinal fusions are increasingly common procedures and that indications in some cases are controversial. Their highlighting of “surgeons they looked into” presents a frightening picture of alleged abuses, of a procedure that in many cases is clinically indicated with excellent results. The controversy regarding fusion typically relates to its use in patients with chronic back pain of uncertain origin. For many non degenerative spinal conditions such as fractures, tumors, deformity, instability and infections there is no controversy about fusion surgery. Most diagnoses with a degenerative component including, but not limited to, adult degenerative deformity, spondylolisthesis and certain cases of spinal stenosis and disc degeneration have strong supporting evidence. The controversies in the CBS report […]
April 23, 2014

ISASS Policy Statement – Cervical Artificial Disc

ISASS Policy Statement – Cervical Artificial Disc Domagoj Coric, MD Department of Neurosurgery, Carolinas Medical Center, Charlotte, NC USA Original Article Published at: http://dx.doi.org/10.14444/1006 A PDF version of the Policy Statement is available here. Introduction by Morgan Lorio, MD, FACS, Chair, ISASS Coding & Reimbursement Task Force The ISASS Task Force reached out to Domagoj Coric, MD to provide a timely summation on cervical disc arthroplasty given his special interest and recent IASP championship of this innovative technology to ensure enhanced spine patient access. The ISASS Task Force is pleased with this step towards published ISASS societal policy and applauds Dr. Coric’s effort; if ISASS is to continue to succeed we must continually harness the voluntary talents and energies of our members with gratitude. Background […]