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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Orthopedics on the Rise: Billing Trends Reveal Changing Roles in Spine Surgery.

Graham A Branscom1, Leilei Hao1, Brendan F Judy1

  • 1Neurosurgery, University of Pennsylvania, Philadelphia, USA.

Cureus
|December 16, 2025
PubMed
Summary
This summary is machine-generated.

Orthopedic spine surgeons perform more procedures overall, but neurosurgeons see more new patients. Both specialties are increasingly performing procedures historically dominated by the other, indicating shifting roles in spine surgery.

Keywords:
anterior lumbar interbody fusion (alif)cervical spine proceduresmedicare dataphysician specialtyprocedure volumesspinal deformity correction

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Area of Science:

  • Neurosurgery and Orthopedic Surgery
  • Spine Surgery Specialization

Background:

  • Spine surgery is a shared field between neurosurgery and orthopedic surgery.
  • Differences in procedural volume and roles between these specialties are not fully understood.
  • Understanding these trends is crucial for workforce planning and interdisciplinary collaboration.

Purpose of the Study:

  • To investigate differences in procedural volume between neurosurgery and orthopedic surgery in spine care.
  • To identify recent trends in the shifting roles of these specialties within spine surgery.
  • To provide insights for future workforce planning and training in spine surgery.

Main Methods:

  • Analysis of the Medicare Part B dataset (2013-2022).
  • Inclusion of data from 1,695 spine neurosurgeons and 1,531 orthopedic spine surgeons.
  • Comparison of new and established patient office visits and overall spinal procedure volumes.

Main Results:

  • Orthopedic spine surgeons perform higher overall spinal procedure volumes and more established patient visits.
  • Spine neurosurgeons manage a higher volume of new patient office visits.
  • Both specialties show increasing proportions in procedures historically dominated by the other, such as spinal deformity, ALIF, and cervical procedures.

Conclusions:

  • Orthopedic spine surgeons currently perform a higher volume of spine procedures.
  • Both neurosurgery and orthopedic surgery are expanding their scope within spine care.
  • There is a notable trend of interdisciplinary role shifting in spine surgery, impacting both specialties.