Spine technology, robotics and artificial intelligence are at a pivotal point, and two key considerations will play a role in their future, Ali Baaj, MD, said.
Dr. Baaj, chief of spine surgery at Phoenix-based Banner Health, spoke with Becker's about what's next for spine tech and what it will take to overcome payer hurdles in the space.
Note: This conversation was lightly edited for clarity.
Question: Where do you see AI and robotics heading into 2025?
Dr. Ali Baaj: No. 1, we know that a lot of these technologies are safe and effective.They help improve certain aspects of workflow, and certainly they're very strong when it comes to pre planning our surgeries. Two things we have to really consider moving forward with these technologies: Are they cost effective and are they clear? Do they exceed the effectiveness of current techniques and current technologies? When we talk about robotics and when we talk about AI, it can't be just an academic exercise. It has to provide true value in terms of improving workflow, decreasing cost and improving safety and outcomes.
I think the verdict is still out, but I'm very optimistic on the trajectory of where we're heading. There are significant hurdles that need to be overcome, but I do believe that they are the future. If we don't put in the sweat equity now, and if we don't deal with the frustrations and the inefficiencies now, we will not be able to propel spinal innovation and technology forward.
Q: I imagine one of those key hurdles is related to CMS and payers. What's your outlook on that in relation to these new technologies?
AB: It's all about demonstrating that these technologies will drive value for our patients, for our peers and for our trainees. We need peer-reviewed literature that is transparent, accessible and that truly demonstrates that we are decreasing costs and increasing safety to achieve the outcomes that we want with payers. When it comes to CMS, this cannot be just an academic and research exercise. It can't be just a science lab or a science project. It has to really positively impact positively what we do on a daily basis, and I think we will get there. I applaud all the researchers and the spine surgeons, both in the community and in the academic spheres that are pushing this envelope, because I think it needs to be done.