Abstract:
:As the cost of health care continues to rise, government and commercial payors are implementing strategies as a means of reducing the overall expenditure of health care dollars. The largest savings will be not just in more cost-effective treatments but in strategies that can avoid the need for treatments in the first place. Although the savings from popular payor reform strategies like bundled payments are tied to the initiation of the clinical episode, population health programs utilize a variety of tactics to decrease the need for health care utilization overall. However, the payor reform landscape is seeing some convergence of strategies as varying tactics can be complimentary. Given the dramatic rise in expenditures on spine surgery and related services, spine surgeons should understand how population health and other efforts will inevitably influence spine health care delivery going forward.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Scalise J,Jacofsky Ddoi
10.1097/BSD.0000000000000541subject
Has Abstractpub_date
2018-10-01 00:00:00pages
347-350issue
8eissn
2380-0186issn
2380-0194journal_volume
31pub_type
杂志文章abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:To determine whether a genetic test is associated with successful Providence bracing for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Genetic factors have been defined that predict the risk of progression of AIS in a polygenic fashion. From these data,...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e3182aa4ce1
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:Prospective clinical study. SUMMARY OF BACKGROUND DATA:To the authors knowledge, there are no previous prospective studies to test the feasibility of the unilateral biportal endoscopic (UBE) technique in management of lumbar canal stenosis. PURPOSE:The study was conducted to compare clinical results of t...
journal_title:Clinical spine surgery
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doi:10.1097/BSD.0000000000001122
更新日期:2021-01-15 00:00:00
abstract:STUDY DESIGN:This is a retrospective study. OBJECTIVES:(1) To analyze the incidence of second surgery after initial laminoplasty for ossification of the posterior longitudinal ligament (OPLL) due to disease progression, (2) to examine factors associated with poor surgical outcome. SUMMARY OF BACKGROUND DATA:Neurologi...
journal_title:Clinical spine surgery
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doi:10.1097/BSD.0000000000000747
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION:Hidden zone foraminal herniations are among the more rare forms of herniations. As exploration is difficult, and there is a close relationship between the nerve root and pedicle, many surgical approaches have been proposed. The aim of this study was to describe downward laminotomy as a new approach to thes...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000562
更新日期:2018-05-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. SUMMARY OF BACKGROUND DATA:Percutaneous vertebroplasty (PV) changes mechanical stress of vertebral column and can cause recurrent pain at the treated level. However, there were a few reports on the therapeutic effects of the repeat PV for patients with recurrent pain at the treated ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e318288a900
更新日期:2016-11-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:The objective of this study was to establish the correlation between radiographic spinopelvic parameters with objective biomechanical measures of function in patients with adult degenerative scoliosis (ADS). SUMMARY OF BACKGROUND DATA:Gait and balance analyses can pr...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000939
更新日期:2020-02-01 00:00:00
abstract:STUDY DESIGN:Intervention comparison study. OBJECTIVE:To assess postoperative cervical lordosis, clinical outcome, and progression of ossification of the posterior longitudinal ligament (OPLL) in patient of cervical spondylotic myelopathy (CSM) by the OPLL. SUMMARY OF BACKGROUND DATA:The posterior approach is usually...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000058
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To provide reasoning and steps for the placement of sacral alar-iliac (S2AI) screws for pelvic arthrodesis to aid osseous lumbosacral fusion. SUMMARY OF BACKGROUND DATA:Studies support lower rates of screw breakage and need for revision surgery or hardware removal for S2AI screws compared with traditional il...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000574
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:A retrospective case series describing teardrop fracture of the axis. OBJECT:The purpose of the study was to clarify the clinical features, the mechanism of injury, and the potential instability of extension teardrop fractures of the axis, so as to emphasize the importance of recognizing this injury as a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828984f9
更新日期:2016-02-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000708
更新日期:2019-02-01 00:00:00
abstract::Central cord syndrome (CCS) represents a clinical phenomenon characterized by disproportionately greater motor impairment of the upper than of the lower extremities, bladder dysfunction. CSS is the most common form of incomplete traumatic spinal cord injury. The initial description of CSS was reported in 1887 secondar...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000731
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:A retro-odontoid pseudotumor that is not associated with rheumatoid arthritis or hemodialysis is clinically rare. The majority of surgeons select transoral resection as the surgical treatment, often followed by posterior fusion or posterior decompression and fusion. In contrast, some authors have reported succe...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31829eb7e6
更新日期:2016-12-01 00:00:00
abstract::The Spine Patient Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with a randomized and observational cohort, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcomes, cost...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000696
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:Large multicenter retrospective cohort study. OBJECTIVE:The objective of this study was to analyze the effect of fusion timing on inpatient outcomes in a nationally representative population with thoracolumbar fracture and concurrent neurological injury. SUMMARY OF BACKGROUND DATA:Among thoracolumbar tra...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001078
更新日期:2020-10-06 00:00:00
abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:The objective of this study was to determine patients' perception of iliac crest bone graft (ICBG) harvesting and donor site pain following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA:The incidence of donor site pain has...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000781
更新日期:2019-12-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To evaluate radiographic and clinical outcomes of adults with spinal deformity treated with multilevel anterior column releases (ACR). SUMMARY OF BACKGROUND DATA:Pedicle subtraction osteotomy can be used effectively to correct spinal deformity; however, it is not without complicati...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000377
更新日期:2016-05-01 00:00:00
abstract:STUDY DESIGN:This was a retrospective case control study. OBJECTIVE:The objective was to determine the impact of single-level interbody fusion at L4/5 with or without concomitant decompression on various spinopelvic parameters and health-related quality-of-life (HRQOL) outcomes. SUMMARY OF BACKGROUND DATA:Recently, f...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001013
更新日期:2020-12-01 00:00:00
abstract::The Spine Patient-Reported Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with randomized and observational cohorts, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcom...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000841
更新日期:2019-08-01 00:00:00
abstract::For a company to provide high value to its customers, its organization design is critical. As health care transitions to a value-based model, it is critical that spinal care organizations are structured in such a way that they can maximize value to both the patient and the payers. This article will discuss the 3 most ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000529
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:All doctors know that P-value<0.05 is "the Graal," but publications require further parameters [odds ratios, confidence interval (CI), etc.] to better analyze scientific data. AIM:The aim of this study was to present P-values, CI, and common effect-sizes (Cohen d, odds ratio, and various coefficients) in a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000695
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:A prospective single-surgeon nonrandomized clinical study. OBJECTIVE:To evaluate the radiographic and clinical outcomes, by fixation type, in extreme lateral interbody fusion (XLIF) patients and provide an algorithm for determining patients suitable for stand-alone XLIF. SUMMARY OF BACKGROUND DATA:XLIF m...
journal_title:Clinical spine surgery
pub_type: 临床试验,杂志文章
doi:10.1097/BSD.0b013e3182aa4c94
更新日期:2017-03-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000169
更新日期:2017-07-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000331
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE OF THE STUDY:The objective of the study was to assess whether bone morphogenetic protein (BMP) decreases the risk of revision surgery in elderly patients treated with 3-7 level or 8 or greater level fusions. SUMMARY OF BACKGROUND DATA:Revision spine surgery in the...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000489
更新日期:2017-08-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000915
更新日期:2020-04-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001001
更新日期:2020-12-01 00:00:00
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journal_title:Clinical spine surgery
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更新日期:2018-06-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00