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February 27, 2025
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American Spine Registry highlights spine surgery data, trends in annual report

Key takeaways:

  • The report includes data from 342,842 spine procedures from 2015 to 2023.
  • The report is a collaboration between the American Academy of Orthopaedic Surgeons and the American Association of Neurological Surgeons.

The American Spine Registry released its inaugural annual report, which features insight into surgical trends and patient data for the advancement of spine surgery science and patient care, according to a press release.

“Effective data collection is an important part of optimizing and protecting the future of spinal surgery,” Steven D. Glassman, MD, FAAOS, medical director at Norton Leatherman Spine and appointee co-chair of the American Spine Registry (ASR), told Healio. “Through collaboration with the American Association of Neurological Surgeons and the American Academy of Orthopaedic Surgeons, as well as our hospital systems, large-scale collection of meaningful spine data is an attainable goal.”

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The ASR 2025 Annual Report includes data from 230,159 lumbar and 112,683 cervical spine procedures performed between 2015 and 2023.

“While ASR has been collecting spine data over the past several years, this first edition annual report demonstrates that ASR is reaching a critical threshold with a sufficient volume and breadth of data to support meaningful analysis and promote quality improvement,” Glassman said.

The report has separate modules for lumbar surgeries and cervical surgeries. Each module features data on treatment patterns and outcomes for common procedures such as lumbar interbody fusion, transforaminal fusion, anterior cervical discectomy and fusion, posterior fusions, laminectomies and decompressions.

The modules also include valuable industry insights on component and implant manufacturer usage, as well as patient-specific data such as patient-reported outcome measures, demographics, comorbidities, complications, readmissions, reoperations and revisions.

According to the report, the most common lumbar diagnoses were spinal stenosis (59.7%), herniated nucleus pulposus or radiculopathy (33.4%) and spondylolisthesis (25.8%), while the most common cervical diagnoses were spinal stenosis (57.8%), radiculopathy (42.3%) and myelopathy (35.7%).

“The report conveys the range of pathologies and procedures captured within the ASR platform as well as the ability to collect comorbidities and complications necessary for risk stratification and other advanced analytics,” Glassman added. “The report also demonstrates the more granular data that can be obtained through use of the supplementary vanguard OR data.”

“Next year's annual report will certainly convey robust growth in ASR participation and continued development in the ability to effectively interpret the data and convey that data to surgeons for both quality improvement and research,” Glassman concluded.

To download the full ASR 2025 Annual Report, please visit https://connect.registryapps.net/2025-asr-annual-report.