Editor's note Enhanced Recovery After Surgery (ERAS) guidelines continue to evolve for specific procedures with the goal to optimize patient recovery and surgical outcome. There is a recognized need for consensus on ERAS recommendations specific to surgery for moderate to severe degenerative cervical myelopathy (DMC)—progressive compression of the spinal cord…

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Editor's Note High-volume joints and spine procedures in ambulatory surgery centers (ASCs) require more than a “healthy” patient—success hinges on rigorous screening, block-and-flow efficiency, tech-enabled standardization, and a culture where anyone can say “stop,” this session’s speakers said. Comprising Robert Bray, MD, FAANS, CEO and founding director of DISC Sports…

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Satisfaction of ambulatory surgery (ASC) leaders with their current jobs/positions has fallen in the past year, according to the 2025 OR Manager Career/Salary Survey. After reaching a 5-year high of 81% in 2024’s survey, the favorable satisfaction rating fell to 72%. However, that percentage aligns with surveys from several years…

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Editor's Note More than 200,000 older Americans underwent back surgeries they likely did need, costing Medicare and Medicare Advantage a combined $1.9 billion, Axios October 9 reports. The findings, based on an analysis by the Lown Institute, raise new concerns about overuse of high-cost procedures with limited benefit, as federal…

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Editor's Note Hiring for spinal procedures are tightening and consolidation is accelerating, reshaping where and how ambulatory surgery centers (ASCs) secure talent, Becker’s Spine Review October 3 reports. A mounting orthopedic shortage exceeding 5,000 by year-end is making spine one of the hardest specialties to recruit, with timelines stretching and…

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Editor's Note Early blood pressure augmentation did not improve neurologic outcomes and was linked to more complications, according to a JAMA Network study published on September 18. In this multicenter randomized clinical trial at 13 US trauma centers, 92 adults with acute cervical or thoracic spinal cord injury were assigned…

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Editor's Note Artificial disc replacement (ADR) no longer requires a hospital stay. In one of the largest analyses to date, a California surgical team reviewed 1,043 outpatient ADR cases over 6 years and found zero immediate hospital transfers, zero transfusions, and every patient discharged home in under 24 hours, LA…

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About the survey Data for the Career/Salary Survey were collected from April 1 to June 27, 2025. The list comprised ASC administrators who were either OR Manager subscribers or part of an external list. The survey closed with 90 responses. The margin of error is ±5 percentage points at the…

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Editor's Note Artificial disc replacement (ADR) in the cervical spine can be performed safely, efficiently, and cost-effectively in outpatient/ambulatory surgery centers (ASCs), Ortho Spine News July 31 reports. The article details research from Steven J. Girdler, MD, of DISC Surgery Center, who reviewed 6 years of data from 1,043 patients…

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When Betsy Grunch, MD, FAANS, FACS, FCNS, board-certified neurosurgeon known on TikTok and Instagram as @Ladyspinedoc, watched a viral video of a surgeon berating an OR nurse during a livestreamed procedure, she was incredibly bothered by the shameful display. She took to her popular platform and spoke out against that…

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