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Weekly News, Analysis, and Commentary

Aesculap Enters Lumbar Disc Maelstrom

activL Artificial Disc / Source: Aesculap Implant System, LLC
activL Artificial Disc / Source: Aesculap Implant System, LLC

The FDA just approved Aesculap’s artificial lumbar disc. The marketplace for lumbar discs has been brutal. Cervical has fared much better as LDR has shown. Can Aesculap breathe new life into lumbar artificial discs? A couple of top spine surgeons are hopeful, but the opinions are not exactly universally held. Are the payers ready for Act II of lumbar artificial discs?

Lumbar Spine Fusion (Posterior): Safest Hospitals, Safest Doctors, Ranked

Surgeon Scorecard and Lumber spine MRI / Source: ProPublica.org, Wikimedia Commons and Nevit Dilmen
Surgeon Scorecard and Lumber spine MRI / Source: ProPublica.org, Wikimedia Commons and Nevit Dilmen

Who are the safest hospitals and surgeons for lumbar spine fusion, posterior approach? ProPublica, an independent, non-profit public interest newsroom has an app which uses CMS data to list and rank hospitals and surgeons according to complication rate. Here’s what we found, along with some caveats.

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Hip Replacements: Safest Hospitals, Safest Doctors, Ranked

Surgeon Scorecard / Source: ProPublica.org
Surgeon Scorecard / Source: ProPublica.org

All that new data from CMS about hospitals and surgeons is finding its way out. The most recent window into this data comes courtesy of ProPublica, an independent, non-profit public interest newsroom. It lists and ranks hospitals and surgeons according to complication rates. Here’s what we found for hip replacement surgery, along with some caveats.

Three Sports Med News Items: NEW Guidelines for Spine-Injured Athletes // New Study Data on Athlete Surgery Risk // and More!

Source: Wikimedia Commons and Johntex
Source: Wikimedia Commons and Johntex

Do YOU know what to do with an athlete (in full gear) if a spine injury is suspected? Updated guidelines are here. Two New Studies of Note: New research indicates that athletes who undergo surgery before college more likely to have future surgeries. And female and male runners have different risk factors for low BMD.

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Cement That Shoulder? John W. Sperling and William H Seitz, Jr. Debate

CCJR_SperlingSeitz_WEB

In the Crossfire this week is a very sticky topic—cementing that shoulder replacement. Says John W. Sperling “If we look over all the literature one can see that cement fixation is frankly not necessary.” Not so fast says William H. Seitz, Jr., “Cement has become the gold standard and there are new designs and new techniques and we also have new techniques for cementing as well.” It’s a lively and informative debate, for sure.

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Golfers Play Better After Spine Fusion // Arthroscopy Safe, Effective for MDI of the Shoulder // and More!

Golfer Adrien Saddier / Source: Wikimedia Commons and Philippe Guérindon
Golfer Adrien Saddier / Source: Wikimedia Commons and Philippe Guérindon

New Study: 80% of golfers returned to pre-surgery handicap…or IMPROVED their handicap. New research from The Steadman Clinic finds evidence that those with multidirectional shoulder instability can safely be treated under arthroscopy. ISSG – an emerging leader in spine research.

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