Orange Coast Memorial Medical Center (OCMMC) in Fountain Valley, California, has announced the opening of its Center for Spine Health.
OCMMC Opens Center for Spine Health

“We are extremely proud to officially open the Center for Spine Health, ” said Marcia Manker, CEO of OCMMC, in the July 5, 2016 news release. “Our Center is staffed by a highly experienced team of spine health experts who are dedicated to providing personalized, comprehensive and advanced treatment options to Orange County community members.”
The news release adds, “Spearheaded by Medhat Mikhael, M.D., a board certified pain management specialist and medical director of the non-operative program, and Barry Ceverha, M.D., a board certified neurosurgeon and medical director of the operative program, the Center for Spine Health offers a multidisciplinary team which works together to provide non-operative, minimally invasive and surgical treatment options for patients. The Center’s team includes program and nursing management, clinical nurse educators, a patient navigator, physical therapists, imaging and perioperative services staff, and an array of physician specialists including physiatrists, pain management physicians, neurosurgeons, and orthopedic surgeons.”
“Along with skilled diagnosis and treatment planning, the Center for Spine Health’s patient navigator works with patients to guide them through the treatment process, continually providing education and support along the way. Each patient is encouraged to bring a coach (family member or friend) to attend educational sessions and assist in care and support pre- and -post operatively.”
“Our team will utilize a comprehensive treatment approach that includes physical therapy, biologic and motion preservation techniques which are designed to specifically target and treat the source of a patient’s pain. By limiting the use of powerful pain medication and avoiding invasive surgery, our patients can return to the pain-free, active lifestyle they enjoyed prior to their injury or condition, ” explained Dr. Mikhael.
Dr. Mikhael told OTW, “With the opening of Orange Coast Memorial’s Center for Spine Health, we had the unique opportunity to bring together esteemed surgeons and spine specialists to collaborate and create a program with the highest level of spine care in the region.”
“We will be following-up with surgeons, referring physicians and patients to ensure we obtain the highest provider satisfaction, patient satisfaction and patient outcomes through processes, protocols and order sets that are easy to use, incorporate industry best practice and have built in quality. We will continuously look for opportunities to ensure our program remains best in the industry and exceeds expectations.”

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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