Laura Miller, writing in Becker’s Spine Review, reports that spine surgeons experienced a 6% growth in average compensation between 2009 and 2010. The average spine surgeon made $760, 782 in 2010, according to MGMA’s Physician Compensation and Production Survey. Spine surgeons working in the Midwest made the most money, taking home $777, 988. The Midwest is the highest compensating region of the country for spine surgeons.
Spine Surgeon Compensation UP

Miller also reported that spine surgeons working for hospitals made more (an average of $714, 088) than those in private practice ($653, 392). Spine surgeons just starting out are earning $452, 000 in hospital contracts which is less than what is earned by hip and joint surgeons who receive around $597, 000. In addition Miller notes that orthopedic surgeons receive sign-on bonuses that vary from $40, 000 to $60, 000.
If one is a spine surgeon in private practice, it pays to practice in multispecialty groups. They compensate higher, paying $102, 577 more than is paid to spine surgeons in single specialty groups. Both groups of spine surgeons earned significantly more in 2010 than in 2009.Those in single specialty groups received $627, 000 in 2010, which is an increase of $22, 000 over the previous year. However, spine surgeons in multispecialty groups did better, receiving on-average $729, 000 in 2010, which is about $107, 000 more than they received in 2009.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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