{"id":"035f4e80-6879-4aaa-bdd2-436602aa546e","slug":"the-death-of-spine-surgery-sequel-2014","title":"The Death of Spine Surgery, Sequel – 2014","authors":["James I. Ausman"],"abstract":"Background: Clark Watts discusses the transformation of the American Association of Neurological Surgeons (AANS) from an educational to a trade association, which has shifted the focus of neurosurgery from patient welfare to the financial interests of neurosurgeons. This change has influenced the practice of neurosurgery and the relationship between neurosurgeons and patients. Methods: The article reviews data on the increase in spine surgeries, particularly fusions for spinal stenosis, and the associated costs and complications. It cites various studies and reports that highlight the overuse of spine surgery and the financial implications for neurosurgeons. Results: Watts notes that spine surgery now constitutes 70-100% of a neurosurgeon's practice, with a significant increase in complex procedures and costs without a corresponding increase in disease complexity. Reports indicate that a considerable percentage of spine surgeries may be unnecessary, and there is a growing concern about the financial motivations behind these procedures. Conclusion: The article suggests that the current trajectory of spine surgery may lead to a crisis in reimbursement and practice sustainability. Watts advocates for the establishment of Multidisciplinary Spine Centers to improve patient care and justify treatment decisions, emphasizing the need for a shift in focus back to patient-centered care. Keywords: spine surgery, neurosurgery, AANS, patient care, multidisciplinary centers, healthcare costs, surgical complications, overuse","thumbnailUrl":null,"publishDate":"2014-11-29T00:00:00.000Z","doi":"10.4103/2152-7806.145933","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/4067/SNI-5-169.pdf"}