Creating sustainability in centers performing high-volume adult spinal deformity surgery: evaluation of the Maryland all-payer model.

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Title: Creating sustainability in centers performing high-volume adult spinal deformity surgery: evaluation of the Maryland all-payer model.
Authors: Kim AH; 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland., Raad M; 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland., Hostin RA; 2Department of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, Texas., Bess S; 3Colorado Scoliosis and Spine Specialists, Greenwood Village, Colorado., Gum JL; 4Norton Leatherman Spine Center, Louisville, Kentucky., Line BG; 5International Spine Study Group, Brighton, Colorado., Nayak P; 2Department of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, Texas., Lafage V; 6Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York., Lafage R; 6Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York., Hamilton DK; 7Department of Neurological Surgery, University of Pittsburgh, Pennsylvania., Passias PG; 8Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York., Protopsaltis TS; 8Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York., Lenke LG; 9Department of Orthopedic Surgery, Columbia University, The Spine Hospital, New York, New York., Smith JS; 10Department of Neurosurgery, University of Virginia School of Medicine, Charlottesville, Virginia., Ames CP; 11Department of Neurosurgery, University of California San Francisco School of Medicine, San Francisco, California., Diebo BG; 12Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island., Klineberg EO; 13Department of Orthopedic Surgery, McGovern Medical School, University of Texas Health, Houston, Texas., Daniels AH; 12Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island., Kim HJ; 14Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York., Gupta MC; 15Department of Orthopedic Surgery, Washington University, St. Louis, Missouri., Schwab FJ; 6Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York., Shaffrey CI; 16Department of Neurosurgery and Orthopedic Surgery, Duke University School of Medicine, Durham, North Carolina; and., Burton DC; 17Department of Orthopedic Surgery, University of Kansas School of Medicine, Kansas City, Kansas., Kebaish KM; 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.
Source: Journal of neurosurgery. Spine [J Neurosurg Spine] 2026 Apr 10; Vol. 45 (1), pp. 140-145. Date of Electronic Publication: 2026 Apr 10.
Publication Type: Journal Article
Journal Info: Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 101223545 Publication Model: Electronic Cited Medium: Internet ISSN: 1547-5646 (Electronic) Linking ISSN: 15475646 NLM ISO Abbreviation: J Neurosurg Spine Subsets: MEDLINE
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  Data: Creating sustainability in centers performing high-volume adult spinal deformity surgery: evaluation of the Maryland all-payer model.
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  Data: <searchLink fieldCode="AU" term="%22Kim+AH%22">Kim AH</searchLink>; 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.<br /><searchLink fieldCode="AU" term="%22Raad+M%22">Raad M</searchLink>; 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.<br /><searchLink fieldCode="AU" term="%22Hostin+RA%22">Hostin RA</searchLink>; 2Department of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, Texas.<br /><searchLink fieldCode="AU" term="%22Bess+S%22">Bess S</searchLink>; 3Colorado Scoliosis and Spine Specialists, Greenwood Village, Colorado.<br /><searchLink fieldCode="AU" term="%22Gum+JL%22">Gum JL</searchLink>; 4Norton Leatherman Spine Center, Louisville, Kentucky.<br /><searchLink fieldCode="AU" term="%22Line+BG%22">Line BG</searchLink>; 5International Spine Study Group, Brighton, Colorado.<br /><searchLink fieldCode="AU" term="%22Nayak+P%22">Nayak P</searchLink>; 2Department of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, Texas.<br /><searchLink fieldCode="AU" term="%22Lafage+V%22">Lafage V</searchLink>; 6Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York.<br /><searchLink fieldCode="AU" term="%22Lafage+R%22">Lafage R</searchLink>; 6Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York.<br /><searchLink fieldCode="AU" term="%22Hamilton+DK%22">Hamilton DK</searchLink>; 7Department of Neurological Surgery, University of Pittsburgh, Pennsylvania.<br /><searchLink fieldCode="AU" term="%22Passias+PG%22">Passias PG</searchLink>; 8Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.<br /><searchLink fieldCode="AU" term="%22Protopsaltis+TS%22">Protopsaltis TS</searchLink>; 8Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.<br /><searchLink fieldCode="AU" term="%22Lenke+LG%22">Lenke LG</searchLink>; 9Department of Orthopedic Surgery, Columbia University, The Spine Hospital, New York, New York.<br /><searchLink fieldCode="AU" term="%22Smith+JS%22">Smith JS</searchLink>; 10Department of Neurosurgery, University of Virginia School of Medicine, Charlottesville, Virginia.<br /><searchLink fieldCode="AU" term="%22Ames+CP%22">Ames CP</searchLink>; 11Department of Neurosurgery, University of California San Francisco School of Medicine, San Francisco, California.<br /><searchLink fieldCode="AU" term="%22Diebo+BG%22">Diebo BG</searchLink>; 12Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island.<br /><searchLink fieldCode="AU" term="%22Klineberg+EO%22">Klineberg EO</searchLink>; 13Department of Orthopedic Surgery, McGovern Medical School, University of Texas Health, Houston, Texas.<br /><searchLink fieldCode="AU" term="%22Daniels+AH%22">Daniels AH</searchLink>; 12Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island.<br /><searchLink fieldCode="AU" term="%22Kim+HJ%22">Kim HJ</searchLink>; 14Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York.<br /><searchLink fieldCode="AU" term="%22Gupta+MC%22">Gupta MC</searchLink>; 15Department of Orthopedic Surgery, Washington University, St. Louis, Missouri.<br /><searchLink fieldCode="AU" term="%22Schwab+FJ%22">Schwab FJ</searchLink>; 6Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York.<br /><searchLink fieldCode="AU" term="%22Shaffrey+CI%22">Shaffrey CI</searchLink>; 16Department of Neurosurgery and Orthopedic Surgery, Duke University School of Medicine, Durham, North Carolina; and.<br /><searchLink fieldCode="AU" term="%22Burton+DC%22">Burton DC</searchLink>; 17Department of Orthopedic Surgery, University of Kansas School of Medicine, Kansas City, Kansas.<br /><searchLink fieldCode="AU" term="%22Kebaish+KM%22">Kebaish KM</searchLink>; 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.
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  Data: <searchLink fieldCode="JN" term="%22101223545%22">Journal of neurosurgery. Spine</searchLink> [J Neurosurg Spine] 2026 Apr 10; Vol. 45 (1), pp. 140-145. <i>Date of Electronic Publication: </i>2026 Apr 10.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22American+Association+of+Neurological+Surgeons%22">American Association of Neurological Surgeons </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>101223545 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1547-5646 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2215475646%22">15475646 </searchLink><i>NLM ISO Abbreviation: </i>J Neurosurg Spine <i>Subsets: </i>MEDLINE
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