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Broader Insurance Coverage Offer alternatives to single out-of-pocket payments Fund health economic studies to explore value-based care Set inclusive patient eligibility criteria Collaboration between medical device companies and large organizations Public Awareness Campaigns Educate the public on benefits of arthroplasty and challenges posed by insurance Build public pressure to drive policy changes Optimized Patient Selection Focus on patients with single- or 2-level disc degeneration Exclude those with severe facet joint disease, spinal stiffness, ankylosis, or significant comorbidities Prioritize younger patients with good disc height and bone quality Widespread Surgical Training Ensure ongoing provider training and education Periodically conduct complex case meetings and surgical technique workshops to enhance surgical expertise Patient Advocacy Foster dialogue among professional medical societies, patient advocacy groups and insurance companies Advocate for legal change through petitions, lawsuits, and meetings with regulatory bodies and policymakers Scientific Advances Integrate biologics and regenerative medicine to enhance treatment outcomes Conduct further research on bioactive materials and intelligent devices Create implants personalized to the patient's anatomy Consider application of AI and robotics in surgical planning and execution Abbreviation: AI, artificial intelligence.
Expansion of Indications >2 levels Index level kyphosis Collapsed discs Cervical spondylotic myelopathy Congenital canal stenosis Improved Biokinematics Signature and Prosthesis Survival Custom-made devices to match individual’s COR and LDC Protection of compensatory mechanism while aging Biomaterials to reduce wear and debris Understand and Control Complications Anterior osteolysis: timeline, causes, and management Heterotopic calcification control Revision strategies for failed cases Econometrics Long-term value-based studies Device costs Surgeon’s reimbursement Abbreviations: COR, center of rotation; LDC, load-displacement curves.
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