Cyrus Ghavam, M.D., an orthopedic spine surgeon, has joined Hope Orthopedics of Salem, Oregon.
Cyrus Ghavam, M.D. Joins Hope Orthopedics

“We are excited to have Dr. Ghavam join the Hope team,” said Hope Orthopedics CEO Lorissa Addabbo. “He is committed to providing excellence in care; which aligns with our values at Hope. Adding Spine Care to our list of services is just a small step we are taking on our path to better serving the community.”
“Ghavam earned his bachelor’s and master’s degrees at Stanford University, and his medical degree with Research Distinction at the University of Miami School of Medicine.”
“He completed his orthopedic surgery residency at the University of Alabama Birmingham, followed by a subspecialty fellowship in spine surgery at the Charlotte Spine Center. He received board certification from the American Board of Orthopaedic Surgery and is a Fellow of the American Academy of Orthopaedic Surgeons and a member of the North American Spine Society, the largest spine care society in America. Ghavam also serves as a flight surgeon in the United States Air Force.”
Dr. Ghavam told OTW, “I practiced for 20 years in Huntsville, Alabama, and feel very fortunate in having developed a mature clinical and technical skill set that I will apply to this new venture. In 2017, I completed my MBA at MIT Sloan, with an eye towards improvements in operations management and healthcare provision efficiencies. I recognize the value requirements in providing healthcare, and the significance that incremental improvements have in process optimization.”
“As always, patients first. I have a documented track record of applying quality care in a manner that is appealing to patients—my goal is to apply a high quality, high patient satisfaction approach.”
“I’ll continue to work on projects such as nanotech cages, laterally expanding cages, and publishing my study on safely performing spine surgery on patients taking clopidrogel. Using analytics programs (such as R), we will optimize the management side of operations at Hope—satellite clinic locations, remote physical therapy locations, urgent care development, and appointment stratification.”

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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