Annual Forum Presentations 2025

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Annual Forum Presentations 2025

Business of spine surgery: leveraging your value beyond the or

Private Equity and You (Taking a Big Bite Out of the Big Apple)


Leaving Academia for Independent Practice


Be Your Own Boss: Starting an Ambulatory Surgery Center


Technology Updates: A New Treatment Option for the Aging Spine


NOPAIN: Improved Management of Post-surgical Pain While Minimizing Financial Barriers


Mitigating Risk: What Spine Surgeons Should Know About Malpractice Risks


Spine Surgeon By Day, Innovator By Night


Surgeon as Administrator: Power Move or Selling Out?


Efforts to Repeal the Ban on Physician Owned Hospitals


Administrative Harm


Back to School: Does an MBA Make Sense for You?


Aquiring new masteries

Turning the World Upside Down: Prone Lateral


Taking the Endoscopic Plunge


Reinventing the Wheel: MIS Deformity


Suspension of Belief: Navigating Cages


Avoiding the Elephant in the Room: OLIF


Surrendering to the Machines: Robotics and Spine


When Reality Just Isn't Enough: Augmented Reality


Total Navigation: It's a Game Changer


Motion preservation

More Motion, More Problems: Fusion Is the Clear Answer


Pass the Poly Please: The Spine is Meant to Move


F is for Fusion, No Snake Oil for Me


I Refuse to Fuse: Disc Replacement Preserves the Other Discs AND Produces Better Clinical Outcomes


Implant Decision Making and How to Avoid Problems


Push It to the Limit: Cervical Disc Replacement in Spondylotic Patients


Failed Cervical Arthroplasty


Decision Making Strategies for Revision of Lumbar Disc Replacement


Augmented Reality and Navigation in Lumbar Disc Arthroplasty: What Are the Possibilities?


Surgey-adjacent: regenerative medicine

Stem Cells in Spine: Basic Science and Clinical Applications


Doc, I Want PRP: A Primer on Regenerative Medicine for the Spine Surgeon


SPECT-CT in the Diagnostic Workup of Axial Spine Pain


Metabolic Bone Considerations for Minimally Invasive Spine Surgery


Anterior Lumbar Exposures in the ASC: Should We Do It?


Awake Spine Surgery: What I Have Learned


Recent Advances in Neuromonitoring, Navigation, Position and Approach in Lateral


Presidential address, keynote and awards

Introduction of SMISS President: Michael Y. Wang, M.D., M.B.A.


The Citizen Surgeon: Courage & Innovation During Turbulent Times (SMISS 2025 Presidential Address)


Minimally Invasive Spine Surgery: Past, Present and Future


Long Term Results of Clinical and Radiographic Outcomes After Prone Transpsoas Lateral Interbody Fusion for Degenerative Lumbar Spinal Disease: A Prospective Multicenter Study


Evaluation of the Efficacy and Safety of Conventional and Interlaminar Full-Endoscopic Decompressive Laminectomy to Treat Lumbar Spinal Stenosis (ENDO-F Trial): A Prospective, Randomized, Multicenter Trial


Patient Access to Minimally Invasive Spine Surgery: Trends in the Relationship Between Race, Ethnicity and Time to Treatment for Lumbar Decompression Surgery


SMISS Traveling Fellowship


Endoscopic spine surgery

Starting Up an Endoscopic Program: A $10 Million Dollar Proposal


Never Too Late to Learn Endoscopy: Perspectives from a DeformitySurgeon


Pushing the Limits of Endoscopy


Future of Endoscopy and Where It Is Headed


Clearing the Cellular Fog: The Vital Role of Tissue Bank Quality & Real-World Evidence


The Economics of Endoscopy:Endoscopy Provides Real Value


If I’m Having an Endoscopic Decompression, Don’t You Dare Put a Second Portal in My Back!


Uniportal vs Biportal Debate:Two Portals are Better than One (Duh)


Things I’ve Learned Through Cervical Endoscopy


Endoscopy Isn’t Cost Effective and Shouldn’t Be Widely Adopted


Surgeon preservation

Failure Isn’t Final: Stories of Failing the Oral Boards and Moving on


I Left My First Job


Your Body, Your Health: Ergonomics


Radiation Safety in Minimally Invasive Spine Surgery


Juggling Academia, Clinical Care, Research, Leadership, and Family Life


Staying Sane


Case Complication: A Patient Was Harmed


I Was Sued and Lived to Tell the Tale


Free papers

Natural Language Processing–Driven Automation of the Revised Risk Analysis Index: A Pilot Feasibility Study


Changes in Vertebropelvic Angles Between Standing and Sitting Positions: Influence of Pelvic Incidence, Age, BMI, and Gender


The Foot Bone’s Connected to the Spine Bone:Association Between Foot Deformities and Recovery After Spinal Deformity Surgery


Breaking Down Instability: A Comparative Analysis of Muscle Health, Facet Joint Morphology, Spinopelvic Alignment, and Other Imaging Markers in Stable Versus Unstable Lumbar Spondylolisthesis


Safety Profile and Predictors of Long-Term Reoperation Following Three- and Four-Level Cervical Disc Replacement


Quantifying Ergonomic Risk in Spine Surgery: A Case Series of Surgeon Posture During Single-Level Microdiscectomy


COMPASS Registry: Planned versus Achieved Distal Lumbar Lordosis, Patient-Reported Outcome and Revisions after Short Fusions to S1 with Personalized Interbody Devices


Public Perceptions of Endoscopic versus Tubular Microdiscectomy


Lower Extremity Pain is a Positive Predictor While Back Pain is a Negative Predictor for Early Improvement Following 1- and 2-Level Lumbar Laminectomy Using a Novel Definition of Improvement


Novel Surgical Treatment of Failed Cervical Disc Arthroplasty with Minimally Invasive Cervical Facet Implants


Longitudinal PROMs Analysis Reveals Comparable Recovery in Obese and Non-Obese Patients Undergoing Endoscopic Spine Surgery: A Linear Mixed Effects Analysis


Safety Assessment of Performing Same-Day Outpatient Three- and Four-Level Anterior Cervical Discectomy and Fusion


Postoperative NSAID Prophylaxis Is Associated with Decreased Rates of Heterotopic Ossification Following Cervical Disc Arthroplasty


Economic Value of Minimally Invasive Spine Surgery Performed in an Outpatient Setting: Retrospective Review of 100 Patients Seeking a “Second Opinion”


Lumbopelvic Instrumentation with Cement Augmentation Is Associated with Improved Pain and Function in Patients with Unstable Pathologic Sacral Fractures


Update on Fluid and Thermal Dynamics During Endoscopic Spine Surgery


Use of an Electrical Conductivity Device Improves K-Wire Placement Accuracy as Compared to Freehand Method in Cadaveric SI Joints: A One-to-One Comparative Study


Expectation vs. Reality: Exploring Decisional Regret in Minimally Invasive Lumbar Spine Surgery


Developing an Artificial Intelligence–Based Representation Model of the Spine Using Health System–Scale Data


Length of Stay in MIS and Endoscopic Lumbar Decompression: Impact of Surgical Technique and Perioperative Complications


Medicare Utilization and Reimbursement Trends in Spine Tumor Laminectomies: A 10-Year Retrospective Analysis


Non-Tobacco Nicotine Dependence Increases Complications Following Anterior Cervical Spine Surgery


Comparative Risk of Complications Following ALIF vs TLIF/PLIF in Lumbar Spondylolisthesis: A Stratified Cohort Analysis


Evaluation of Surgical Complications Associated with Minimally Invasive Oblique Lateral Interbody Fusion at L5/S1 (OLIF51): A 10-Year Experience


Full Endoscopic Thoracic OLF Removal for Compressive Myelopathy in Professional Athletes; Case Series


SPECT-CT Versus CT In Postoperative Spinal Evaluation: Assessing Metabolic Activity for Hardware Stability and Early Adjacent Segment Changes


Hollow Screw Design Increases Resistance to Anterior Shear in Single-Level Anterior Lumbar Interbody Fusion: A Biomechanical Study


Efficacy of Endoscopic Lumbar Discectomy With Annulus Fibrosus Suturing: A Systematic Review and Meta-Analysis


Defining Incidental Durotomy Rates in Open and Minimally Invasive TLIF


Lumbar Facet Arthroplasty for Grade I Spondylolisthesis: Safety and Efficacy as an Outpatient Procedure


Symptomatic Epidural Hematoma Following One vs. Multi-Level Unilateral Laminotomy for Bilateral Decompression: A Retrospective Analysis


Safety and Feasability of Robotically Placed Posterior Cervical Pedicle Screws


Personalized Spine Surgery in Adult Deformity: Reoperation Rates and Mechanical Complications Following Customized Planning and Personalized Interbody Implant Use


Enhanced Recovery Following Endoscopic Lumbar Decompression Compared to Open Techniques: A Multi-Center Study of Patient-Reported Outcomes


Dual CNN for Determining Fusion Status After Lateral Lumbar Interbody Fusion


Safety and Fusion Success: Biologic Choices in TLIF and LLIF


SIJ Stabilization in Long Fusion to the Pelvis: A Randomized Controlled Trial (The SILVIA Study)


Small MIS Fusion or Large Open Correction: Is There a Difference in Outcomes in Adult Spinal Deformity


Comparison of Transforaminal Endoscopic Surgery and Traditional Posterior Spinal Surgery in the Treatment of Thoracolumbar and Lumbar Infections Spondylitis


Defining the Severity and Time Course for Dysphagia After Anterior Cervical Surgery


Single and Two-Level Anterior and Lateral Lumbar Interbody Fusion With Percutaneous Posterior Spinal Fusion Without Direct Decompression: A Single-Center Retrospective Cohort Study


Surgical Speed Over Precision? Re-Evaluating the "20-Minute Rule" in LLIF With a Propensity-Matched Analysis


Association of GLP-1 Use and Pseudoarthrosis in Posterior Cervical Fusion Surgery


Navigated Robotic Spine Surgery: A One-Year Prospective Multicenter Analysis of Complications and Revision Rates in 657 Thoracolumbar Fusions


The Comparative Efficacy of Biportal Endoscopic Microtubular and Open Lumbar Laminectomy for Lumbar Stenosis Using an ERAS Protocol


Lumbar Decompression - A Prospective Comparison Between Endoscopic and Tubular Techniques on Outcomes for Patients With Central Canal or Foraminal Stenosis


Improving TLIF Graft Delivery: Evaluation of a Novel Bone Graft Delivery System


Understanding Femoral Nerve Injuries During LLIF Using Transabdominal Muscle Action Potential (TMAP) and an Event-Based Protocol


Obesity May Have Minimal Impact on Operative Time or Early Ambulation Following One to Two Level Robotic Spine Surgery


Development and Validation of the Forgotten Spine Surgery Score – Cervical (FS³-C): An Adapted Outcome Measure in Cervical Spine Surgery


Effect of Body Mass Index on Patient-Reported Outcomes Measurement Information System Scores in Patients Undergoing Unilateral Biportal Endoscopic Lumbar Decompression


How do Rheumatological Conditions Impact CDR Patient Outcomes?


Instrument Tracking Dramatically Decreases Retractor Time and Radiation Exposure in the Prone Lateral Lumbar Interbody Fusion (PL-LIF) Procedure


Cannabis Use and Revision Surgery After Lumbar Fusion: A Meta-Analysis


Development of a Modified Surgical Invasiveness Index for Minimally-Invasive Adult Spinal Deformity Surgery


Is There a Better Alternative to Three Column Osteotomies?Analysis of Prone Lateral Anterior Column Realignment and Their Outcomes After Minimally Invasive Spine Surgery


Socioeconomic Factors Impact the Use of Bone Morphogenetic Protein in Elective Lumbar Fusion Surgery


Structural and Interface Characterization of Biodegradable Lattices for Spinal Fusion Applications:A Pilot Study on Bone Surrogates


The Lordosis Illusion: More Lordotic Cages Don’t Guarantee Greater Correction in TLIF


Psoas Morphology Predicts Neurovascular Complications in L4–L5 Oblique and Lateral Lumbar Interbody Fusion


Presence of Preoperative Vacuum Disc Phenomenon is Not Associated with Adverse Outcomes After Laminectomy


Temporal Trends of Recovery and Return to Activity in Single- and Multi-Level Anterior Cervical Discectomy and Fusion: Comparing Patients with Radiculopathy-Only Versus Myelopathy/Myeloradiculopathy


Can Endoscopic Decompression Lead to Greater Postoperative Pain Reduction Compared to Minimally Invasive Tubular Approaches?


Quantitative Assessment of the Biomechanical Advantage of Expandable Implants in Mitigating Subsidence


Randomized Controlled Trials on Thoracolumbar Burst Fracture Management Are Statistically Fragile: A Systematic Review


Is Foraminal Stenosis “Asymptomatic”? Outcomes After 1-Level MIS Decompression


Preauthorization Delays Care in Elective Orthopaedic Spine Surgery


Preoperative Activity Decline Predicts Functional Recovery After Spine Surgery: A Smartphone-Based Analysis


Comparative Analysis of ProDisc-C and Mobi-C Cervical Disc Arthroplasty: Long-Term Radiographic and Clinical Outcomes


Evaluating ChatGPT’s Diagnostic and Treatment Accuracy in Lumbar Spine Pathology


Two-Level CDR Patients Return to Work Sooner than Two-Level ACDF Patients: A Matched-Cohort Analysis


Ultra MIS Surgical Treatment of Pars Fractures with Percutaneous Headless Compression Screw


Failure to Achieve Ideal L1PA is Associated with Worse Patient Reported Outcomes in L4–S1 Fusions


Lumbar Disc Replacement Provides Indirect Decompression as Effectively as Anterior Lumbar Interbody Fusion


Lateral surgery: complications and pitfalls

Approach Side Choice: How to Choose a Side and Managing Complications Pseudohernia, Thigh Pain, Hematoma


Multilevel Lateral for Deformity: Where Are We Today?


Addressing the Focal Problem versus Correcting the Larger Deformity


Luiz Pimenta, MD Lateral Spine Surgery Innovation Award


Complications Happen: Quad Palsy, Vascular Injuries, Bowel Injured


Neuromonitoring in Anterolateral Lumbar Interbody Fusion-How Should We React to Signal Changes?


MISDEF2 - Past, Present, Future of MIS Deformity


Lateral Corpectomy: Thoracolumbar Junction and Beyond


Expandables and Surface Tech in Lateral Interbody Fusion


Revision TLIF and Prone Lateral


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