In This Issue

SpineLine Podcasts

Commentary

Editor's Message Private Equity Owned Hospitals: A Cautionary Tale F. Todd Wetzel, MD
From the Desk of the President NASS Innovation Nexus Meeting in 2025 Aims to Focus on Future of Spine Care Zoher Ghogawala, MD

Current Concepts

Invited Review Novel Concepts in Clinical Guideline Development in Spine Surgery Kai-Uwe Lewandrowski, MD; Adbuljabbar Alhammoud, MD; Morgan P. Lorio, MD, FACS
Literature Review Utility of Routine Type and Cross for ACDF Rushabh H. Doshi, MPH; Jonathan N. Grauer, MD
Section Spotlight The Use of GLP-1 Agonists in the Preoperative Period Akhil Chhatre, MD; Gene Tekmyster, DO, MBA; Komal Luthra, MD; Nikhil Gopal, MBBS; Pranamya Suri, MD; William J. Richardson, MD; George Rappard, MD; Thomas M. Mauri, MD; Andrew F. Walker, MD

Socioeconomics & Politics

Coding The Organized Chaos of 'Medical Necessity' Donna Lahey, RNFA; Manish Kasliwal, MD, MCh
Ethics March/April Ethics Reader Poll Results Noam Stadlan
Ethics May/June Ethics Reader Poll

NASS News

A Preview of the 10th Spine Across the Sea Meeting
NASS 2024: Premeeting Webinars to Enhance Your Knowledge and Skills
Delve in the Science of NASS 2024: Wednesday Best Paper Q&As
NASS 2024 Wednesday Preview: A Day of Insightful Symposia
What's New at the NASS Annual Meeting in 2024?
NASS Congratulates Members Completing Training
NASS Chosen as Guest Clinical Society at ORS 2024

Cover

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SpineLine Podcasts

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Editor in Chief F. Todd Wetzel, MD Deputy Editor Jason Friedrich, MD

Editorial Board Dustin Anderson, MD Akhil Chhatre, MD Lee Onn Chieng, MD Olumide A. Danisa, MD Edward Dohring, MD Jonathan N. Grauer, MD Manish K. Kasliwal, MD Niranjan U. Kavadi, MBBS Panagiotis Korovessis, MD, PhD Kai-Uwe Lewandrowski, MD Philip Louie, MD Mohammed Macki, MD Vivek Mohan, MD, MS Donna Ohnmeiss, PhD Ripul R. Panchal, DO, FACS Byron J. Schneider, MD Christopher P. Silveri, MD Miles L. Singer, DO Anuj Singla, MD Assem Sultan, MD

Founding Editor in Chief Stuart M. Weinstein, MD, 2000-2006

Past Editors in Chief Eeric Truumees, MD, 2006-2012 Thomas Mroz, MD, 2012-2013 William J. Sullivan, MD, 2013-2018 Jonathan N. Grauer, MD, 2019-2020

Editorial Staff Kelly Campbell, MS, Director of Publications Jeff Karzen, Assistant Director, Publications Jessica Vander Naald, Graphic Designer

Purpose SpineLineTM, a peer-reviewed publication of the North American Spine Society, is published bimonthly to educate and inform NASS members on medical, ethical and policy matters in the field of spine and health care. SpineLine serves as the primary publication for the NASS membership: (1) to educate and inform NASS’ multidisciplinary members on issues of interest and relevance to spine care and research, and assist them in providing quality, cost-effective patient care; and (2) to communicate and promote the policies, professional activities and products of the association.

Statements or opinions expressed in SpineLine are those of the author(s) and do not necessarily represent positions of the North American Spine Society.

© 2024, North American Spine Society, a not-for-profit corporation. ISSN 1531-4111

Disclosure Policy

In compliance with the NASS uniform disclosure policy (available at https://www.spine.org/Portals/0/Assets/Downloads/WhoWeAre/DisclosurePolicy.pdf), SpineLine authors are asked to disclose all financial arrangements. An indicator code (see key at right) reflecting that disclosure (including the supporting company or institution) will appear at the end of each article. Direct or indirect remuneration: Royalties, Stock ownership, Private Investments, Consulting, Speaking and/or teaching arrangements, Trips/travel

Position held in a company: Board of Directors, Scientific Advisory Board, Other office

Support from sponsors: Endowments, Research support, Grants, Fellowship support

Other: Relationships outside the one-year requirement Levels of support: A: $100 to $1000 B: $1,001 to $10,000 C: $10,001 to $25,000 D: $25,001 to $50,000 E: $50,001 to $100,000 F: $100,001 to $500,000 G: $500,001 to $1M H: $1,000,001 to $2.5M I: Greater than $2.5M

Editorial Offices SpineLineTM is published six times a year by the North American Spine Society, 7075 Veterans Boulevard, Burr Ridge, Illinois 60527

Email: franklin.wetzel@bassett.org jkarzen@spine.org spineline@spine.org

Telephone: 630-230-3600 Toll-free: 866-960-NASS (6277) NASS Website: www.spine.org

Subscriptions NASS Members receive SpineLineTM as a benefit of membership. Nonmembers may subscribe for $100/year. Please call 630-230-3600 or email spineline@spine.org.

Advertising For rates and availability, please contact Rick Bacon by email at rbacon@spine.org.

NASS Board of Directors

Zoher Ghogawala, MD, FACS President

Scott Kreiner, MD First Vice President

William Mitchell, MD Second Vice President

David R. O’Brien Jr., MD Secretary

Mitchell F. Reiter, MD, PC Treasurer

John G. Finkenberg, MD Past President

Eric J. Muehlbauer, MJ, CAE Executive Director

Christopher P. Kauffman, MD Administration Council Director

Alan S. Hilibrand, MD Education Council Director

Steven W. Hwang, MD Evidence Analysis & Research Council Director

Karin R. Swartz, MD Health Policy & Advocacy Council Director

D.J. Kennedy, MD Strategic Growth Council Director

Michael G. Fehlings, MD, PhD, FRCSC Director

Patrick C. Hsieh, MD, MS, MBA Director

Andrew Schoenfeld, MD Director

Donna Ohnmeiss, PhD At-Large Member

Richard L. Skolasky, ScD At-Large Member

Jonathan N. Grauer, MD Education Publishing Chair

R. Scott Cowan, MD Payor Policy Review Committee Chair

Noam Stadlan, MD Committee on Ethics & Professionalism Liaison

Michael Y. Wang, MD Industry Relations Liaison