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Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 2016 I n t e g r at e D Media Kit Volume 2 • Number 1 Healio.com/Spine JANUARY/FEBRUARY 2015 Web Watch Helmet brand did not affect concussion rates There was no difference in concussion incidence among high school football players who had 134,437 exposures when they wore Riddell, Schutt or Xenith brand helmets. 13 A SLACK Incorporated® publication DEGENERATIVE DISEASES Cost analysis done for two laminectomy treatments Investigators found lumbar laminectomy with fusion for grade 1 spondylolisthesis was more cost effective than laminectomy alone in a study with 5 years followup. 9 PRACTICE MANAGEMENT Specialty spine organizations revise lumbar disc disease definitions The new definitions are expected to help spine and radiology specialists avoid repeat procedures. 26 COVER STORY Experts discuss poor alignment as cause of failed back surgery syndrome, which treatments work Defined as persistent back or leg pain following back surgery, failed back surgery syndrome is a broadly defined disorder that negatively affects thousands of patients each year and a problem that spine surgeons seem to address more regularly than ever before. There is no equivalent term for a condition like failed back surgery syndrome (FBSS) in other medical specialties, Kern Singh, MD, of Midwest Orthopaedics at Rush, in Chicago, told Spine Surgery Today, and therefore the syndrome lends itself to many mischaracterizations about what FBSS is and what it is not, he said. “The problem with using this broad classification is often the surgery is blamed, but we do not know what the indications for surgery were or the fact that surgery was addressing a particular pathology. Sometimes people undergo back surgery but actually have hip problems, sacroiliac joint problems or something not related to their back,” Singh, a Spine Surgery Today Editorial Board member, said. “They have persistence of pain and blame the spine surgery itself.” Singh said he does not use the term FBSS unless there is definable evidence that surgery was indicated and it was for the diagnosis for which the patient was operated on. “You have to make sure the surgery is done accurately. Often I see people diagnosed with FBSS who still have residual stenosis, a nonunion present, or screws or instrumentation that was incorrectly placed. So they have a reason for the Cover story continues on page 10 dedicated to spine surgery Image: Midwest Orthopaedics at Rush EXCLUSIVES The only CLINICAL newspaper TM Kern Singh, MD, said poor indications for an initial spine surgery is oftentimes associated with an outcome deemed as failed back surgery syndrome. MeetingNewsCoverage CSRS Cervical Spine Research Society Annual Meeting Dec. 4-6 NASS North American Spine Society Annual Meeting Nov. 12-15 PSRS Philadelphia Spine Research Symposium Oct. 28 All meeting coverage starts on page 14 Researchers find similar efficacy after 5 years for one- and two-level ACDF, CTDR SAN FRANCISCO — Data presented at the North American Spine Society Annual Meeting, here, showed the safety and effectiveness of cervical total disc replacement was maintained at 5-year follow-up regardless of whether the prosthesis was implanted at one or two spinal levels. Hyun W. Bae, MD, presented the results for patients in the two treatment arms — onelevel cervical total disc replacement (CTDR) with the Mobi-C prosthesis (LDR Medical; Troyes, France) vs. one-level anterior cervical discectomy and fusion (ACDF) and twolevel CTDR with LDR implants vs. two-level ACDF. He noted only the two-level fusion results at 5 postoperative years were not comparable to results with the other procedures. “Two-level fusion does seem to be a different operation in terms of function,” Bae said, and noted the findings showed that function tended to drop off in patients who underwent two-level ACDF as the follow-up approached 5 years. On the whole, the study showed the four procedures were good and were associated with a 90% patient satisfaction rate, according to Bae. “I think we all believe in ACDF and it certainly is a good operation, but the study really looks at what happens when you start getting into multi-level fusions and what they can cost,” he said. design. NewNew design. opportunities. NewNew opportunities. For more on this story, see page 6 Failure of diagnosis among reasons for failed back surgery syndrome John C. Liu, MD, Chief Medical Editor, Neurosurgery of SPINE SURGERY TODAY discusses some of the leading causes of failed back surgery syndrome, which include failure to address proper spinal balance, failure of surgeon judgment and the continued use of new, unproven spine surgery techniques and technology. 3 A publication of SST0115pgs1,10-13.indd 1 ver.02 1/9/2015 9:51:51 AM Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 1 of 2 pages Volume 2 • Number 2 MARCH/APRIL 2015 Healio.com/Spine Web Watch Multiple epidural injections Spine surgeon referral may be appropriate for some patients who receive epidural steroid injections for neck pain and cervical radiculopathy. 13 A SLACK Incorporated® publication DEFORMITY Long-term progression of childhood AIS varies Scoliosis curve progression in adulthood correlated with curve magnitude in childhood and fusion surgery typically halted later curve progression. 8 IN THE JOURNALS Navigated, non-navigated kyphoplasty may produce similar outcomes Research showed kyphoplasty performed with or without navigation technology showed similar overall rates of cement leakage. 26 CERVICAL Cervical plate fixation positively affects discectomy outcomes Anterior cervical plating yielded greater lordosis angle after 2-level anterior cervical discectomy at 1 postoperative year. 15 SPINE CODING SOURCE Sampling of questions helps with coding and billing This installment of Spine Coding Source column discusses CPT coding perspectives for implant removal, grafting. 21 COVER STORY Minimally invasive spine surgery effective for many indications, but difficult to learn Techniques and procedures for minimally invasive surgery of the spine have developed considerably in recent decades and have since become more popular among spine surgeons, in some cases even more so than the traditional open approaches, according to sources who spoke with Spine Surgery Today. Gary Ghiselli, MD, said he finds minimally invasive surgery (MIS) of the spine more cost-effective than open surgery. It does more to address the quality of life for patients during the immediate recovery period, “as well as the long-term viability of the muscles and tissues overlying the spine,” he said. With experience, published studies have shown complication rates can be equivalent to, but usually less than those encountered with traditional open approaches, according to Ghiselli. “As such, if the same surgical procedure can be performed to the same technical degree with less tissue damage, then it makes logical sense that the effectiveness and surgical outcomes should be at least equivalent, but probably superior,” Ghiselli, of Denver, said. “There are many published studies that compare the effectiveness of MIS surgery with traditional open surgery that support this statement. Opponents of MIS opine that ‘traditional’ open surgery allows better exposure and access, as well as a more technically precise operation than can be performed with a MIS approach. The evidence simply does not support that statement,” Ghiselli told Spine Surgery Today. Cover story continues on page 10 Gary Ghiselli, MD, has found minimally invasive spine surgery is cost effective, but urged caution with all new surgical innovations. SPORT 8-year results help physicians manage symptomatic lumbar stenosis The latest SPORT study results showed that at 8 years post-treatment some groups of patients with symptomatic lumbar spinal stenosis who opted for conservative care did as well at long-term follow-up as patients who underwent surgery. Earlier results of the Spine Patient Outcomes Research Trial (SPORT) study for Spine Surgery Today is the only clinical BPA-audited newspaper for health care professionals who treat or conduct research related to the spine. Published six times per year, Spine Surgery Today provides timely, balanced reports on clinical issues, socioeconomic topics and spine industry developments. It also delivers clinically relevant information on surgical techniques, products, therapies, procedures and technologies used in spine surgery. Image: Laura Kinser EXCLUSIVES Reach Neurosurgeons and Orthopedic Spine Surgeons in a single publication this indication suggested surgery offered more benefits for these patients. However, Jon D. Lurie, MD, MS, and colleagues updated those results with findings from longer term follow-up of the patients. According to Lurie, surgery vs. nonoperative treatment varies by patient, symptoms, degree of activity and other factors. “As a result, the value of SPORT is not in providing one definitive answer to the question of whether surgery is better than nonoperative treatment, but in providing detailed data on the risks and outcomes of each treatment to help patients make individualized, shared decisions,” he told Spine Surgery Today. Steven J. Atlas, MD, MPH, of Boston, and Carlo Ammendolia, DC, PhD, of Toronto, provide perspectives. Spine Surgery Today extends your marketing message to more than 8,000 U.S. physicians*, including more than 3,100 orthopedic surgeons and more than 3,500 neurosurgeons. No other publication reaches the entire spine surgery audience. For more on this story, see page 6 Patients may not always see minimally invasive surgery benefits In a Commentary, Scott D. Boden, MD, Chief Medical Editor, Orthopedic Surgery of SPINE SURGERY TODAY discusses why the costs associated with minimally invasive spine surgery must be controlled during the transition to a value-based economy. 3 SST0315pgs1,10-13.indd 1 3/2/2015 4:43:27 PM *Source: Kantar Media, August 2015 Clinical articles on spine surgery procedures Innovative perspectives by guest spine surgeons Technique- and technology-focused features Coverage of the latest clinical trials and studies Insight into practice management New coding column for spine surgery TM Healio.com/Spine 2 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 2 of 2 pages Delivering relevant, spine-specific coverage Perspectives. Experts share their viewpoints, provide context and suggest application to clinical practice. This brings a deeper understanding and greater participation by our readers. In the Journals. Our popular column that summarizes key literature from peer-review journals including: • Acta Orthopaedica (Scandinavia) • American Journal of Orthopedics • Archives of Orthopaedic and Trauma Surgery • Canadian Medical Association Journal • JAMA • The Bone & Joint Journal • Journal of Bone and Joint Surgery • Journal of Neurosurgery • Journal of Spinal Disorders and Techniques • Journal of the American Academy of Orthopaedic Surgeons • New England Journal of Medicine • Neurosurgery • Orthopedics • Spine • Spine Journal Subspecialty Coverage. Includes: • All Spine Surgery • Basic Science • Biologics • Cervical Coccygeal • Concussion • Deformity • Degenerative Diseases • Disc Biology • Imaging • Infection • Lumbar • Minimally Invasive Surgery • Myelopathy • Oncology • Pain Management • Pediatrics • Practice Management • Sacral, Spinal Cord and Nerves • Thoracic • Trauma Meeting News Coverage. Spine Surgery Today’s award-winning journalists report on site from major spine meetings, as well as provide perspectives from key opinion leaders in-print as well as with online video presentations. TM Healio.com/Spine 3 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us Editorial Leadership A multidisciplinary board reflecting the expertise of the highly specialized spine community. Daniel Refai, MD Associate Editor, Neurosurgery Atlanta Michael G. Fehlings, MD, PhD, FRCSC, FACS Toronto Scott D. Boden, MD Chief Medical Editor, Orthopedic Surgery Atlanta Jeffrey A. Goldstein, MD New York City John C. Liu, MD Chief Medical Editor, Neurosurgery Los Angeles Andrew C. Hecht, MD New York City Todd J. Albert, MD New York City James Kang, MD Pittsburgh Gunnar B.J. Andersson, MD, PhD Chicago Andrew G. King, MD New Orleans Charles L. Branch Jr., MD Winston Salem, N.C. Joseph C. Maroon, MD, FACS Pittsburgh Evalina L. Burger, MD, BMedSc, MBCHB Aurora, Colo. Panayiotis J. Papagelopoulos, MD Athens, Greece Ali Bydon, MD Baltimore Vikas V. Patel, MD Aurora, Colo. Norman B. Chutkan MD, FACS Phoenix Raj D. Rao, MD Milwaukee Vincent C. Traynelis, MD Chicago K. Daniel Riew, MD St. Louis William C. Welch, MD, FAANS, FACS, FICS Philadelphia Kern Singh, MD Chicago David A. Wong, MD, MSc, FRCS(C) Denver Joseph Smucker, MD Carmel, Ind. TM Healio.com/Spine 4 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us In only two years, Spine Surgery Today has become the #2 best read spine publication 1 2 2 Top Spine Publications - # in Cover-to-Cover Readership # in Overall Readership # Ad Page Exposure 2,000 1,756 1,800 1,555 1,600 in Ad Page Exposure 1,400 1,247 1,200 Source: Kantar Media Spine Surgery Readership Study, August 2015. B n at io Pu bl ic Sp in e Su rg e Pu b ry To lic at io n da y A 1,000 Source: Kantar Media Spine Surgery Readership Study, August 2015. TM Healio.com/Spine 5 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us Circulation The only publication to reach orthopedic spine surgeons and neurosurgeons Spine Surgery Today presents unique opportunities to reach the largest audience of spine and neurosurgeons in a single media buy. SPECIALTY CIRCULATION Orthopedic Spine Surgeons 892 Orthopedic Surgeons 3,181 Neurosurgeons 3,533 Other Specialties performing spine procedures 2015 Audit Pending Brand Report Independent third-party verification of audiences used in buying and selling of advertising 568 8,174 TOTAL Distribution: 6x per year Unlike other spine publications, Spine Surgery Today offers you the security of a BPAaudited circulation – so you can be sure your message is received by a verified audience. TM Healio.com/Spine 6 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 2016 Editorial Calendar ISSUE January/ February AD CLOSING MATERIAL DUE 12/1/2015 12/17/2015 March/April 2/1/2016 2/16/2016 May/June 4/1/2016 5/16/2016 July/August 6/1/2016 6/17/2016 8/1/2016 8/17/2016 10/3/2016 10/17/2016 September/ October November/ December FEATURED TOPICS Sagittal balance LSRS Pediatric deformity BONUS DISTRIBUTION American Academy of Orthopaedics Surgeons (AAOS) Annual Meeting American Association of Neurological Surgeons (AANS) Annual Scientific Meeting; The International Society for the Advancement of Spine Surgery (ISASS) Annual Conference Interbody fusion AAOS; ISASS; LSRS; CNS/AANS Spine Pain management AANS Sports and the spine IMAST North American Spine Surgery (NASS) Annual Meeting; Annual Meeting of the Congress of Neurological Surgeons (CNS) Spine motion EuroSpine; NASS; CNS (Editorial content subject to change) TM Healio.com/Spine 7 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 1 of 4 pages Effective Rate Date: January 2016 for all advertisers. Volume 2 • Number 1 Web Watch Helmet brand did not affect concussion rates There was no difference in concussion incidence among high school football players who had 134,437 exposures when they wore Riddell, Schutt or Xenith brand helmets. 13 A SLACK Incorporated® publication EXCLUSIVES RATES Healio.com/Spine JANUARY/FEBRUARY 2015 1. Black-and-White rates: Frequency COVER STORY Experts discuss poor alignment as cause of failed back surgery syndrome, which treatments work Cost analysis done for two laminectomy treatments Investigators found lumbar laminectomy with fusion for grade 1 spondylolisthesis was more cost effective than laminectomy alone in a study with 5 years followup. 9 PRACTICE MANAGEMENT Specialty spine organizations revise lumbar disc disease definitions The new definitions are expected to help spine and radiology specialists avoid repeat procedures. 26 Defined as persistent back or leg pain following back surgery, failed back surgery syndrome is a broadly defined disorder that negatively affects thousands of patients each year and a problem that spine surgeons seem to address more regularly than ever before. There is no equivalent term for a condition like failed back surgery syndrome (FBSS) in other medical specialties, Kern Singh, MD, of Midwest Orthopaedics at Rush, in Chicago, told Spine Surgery Today, and therefore the syndrome lends itself to many mischaracterizations about what FBSS is and what it is not, he said. “The problem with using this broad classification is often the surgery is blamed, but we do not know what the indications for surgery were or the fact that surgery was addressing a particular pathology. Sometimes people undergo back surgery but actually have hip problems, sacroiliac joint problems or something not related to their back,” Singh, a Spine Surgery Today Editorial Board member, said. “They have persistence of pain and blame the spine surgery itself.” Singh said he does not use the term FBSS unless there is definable evidence that surgery was indicated and it was for the diagnosis for which the patient was operated on. “You have to make sure the surgery is done accurately. Often I see people diagnosed with FBSS who still have residual stenosis, a nonunion present, or screws or instrumentation that was incorrectly placed. So they have a reason for the Cover story continues on page 10 Kern Singh, MD, said poor indications for an initial spine surgery is oftentimes associated with an outcome deemed as failed back surgery syndrome. MeetingNewsCoverage CSRS Researchers find similar efficacy after 5 years for one- and two-level ACDF, CTDR Cervical Spine Research Society Annual Meeting Dec. 4-6 NASS North American Spine Society Annual Meeting Nov. 12-15 PSRS Philadelphia Spine Research Symposium Oct. 28 All meeting coverage starts on page 14 SAN FRANCISCO — Data presented at the North American Spine Society Annual Meeting, here, showed the safety and effectiveness of cervical total disc replacement was maintained at 5-year follow-up regardless of whether the prosthesis was implanted at one or two spinal levels. Hyun W. Bae, MD, presented the results for patients in the two treatment arms — onelevel cervical total disc replacement (CTDR) with the Mobi-C prosthesis (LDR Medical; Troyes, France) vs. one-level anterior cervical discectomy and fusion (ACDF) and twolevel CTDR with LDR implants vs. two-level ACDF. He noted only the two-level fusion results at 5 postoperative years were not comparable to results with the other procedures. “Two-level fusion does seem to be a different operation in terms of function,” Bae said, and noted the findings showed that function tended to drop off in patients who underwent two-level ACDF as the follow-up approached 5 years. On the whole, the study showed the four procedures were good and were associated with a 90% patient satisfaction rate, according to Bae. “I think we all believe in ACDF and it certainly is a good operation, but the study really looks at what happens when you start getting into multi-level fusions and what they can cost,” he said. 3x 6x 12x 18x 24x 36x 48x 60x 72x 96x 120x 144x 196x 252x $3,205 $3,165 $3,125 $3,085 $3,045 $3,005 $2,965 $2,925 $2,885 $2,845 $2,805 $2,770 $2,735 $2,700 3/4 Page 2,860 2,820 2,785 2,750 2,715 2,680 2,645 2,610 2,575 2,540 2,500 2,470 2,440 2,400 2,375 Island/Half Page 2,345 2,315 2,285 2,255 2,225 2,200 2,170 2,140 2,110 2,080 2,055 2,025 2,000 1,975 1,950 1/3 Page 1,925 1,895 1,875 1,850 1,825 1,805 1,790 1,755 1,730 1,705 1,685 1,660 1,640 1,620 1,600 1/4 Page 1,580 1,555 1,535 1,515 1,500 1,480 1,465 1,440 1,420 1,400 1,380 1,360 1,345 1,330 1,315 1/8 Page 1,295 1,275 1,260 1,245 1,230 1,210 1,195 1,180 1,165 1,150 1,130 1,115 1,100 1,090 1,075 Color: In addition to earned black-and-white rates. For more on this story, see page 6 Failure of diagnosis among reasons for failed back surgery syndrome Charge per color per page or fraction Standard color $710 Matched color 860 Metallic color 1,230 Four color 2,000 Four color + PMS 2,705 Four color + Metallic 3,060 John C. Liu, MD, Chief Medical Editor, Neurosurgery of SPINE SURGERY TODAY discusses some of the leading causes of failed back surgery syndrome, which include failure to address proper spinal balance, failure of surgeon judgment and the continued use of new, unproven spine surgery techniques and technology. 3 SST0115pgs1,10-13.indd 1 1x $3,250 King Page Image: Midwest Orthopaedics at Rush DEGENERATIVE DISEASES Circulation: 8,174 1/9/2015 9:51:51 AM Click to view print advertising terms and conditions Advertising Office: SLACK Incorporated Vice President, Sales and Marketing: Patrick Duffey [email protected], ext. 262 Sales Administrator: Denise Ulrich [email protected] ext. 475 6900 Grove Road • Thorofare, NJ 08086-9447 856-848-1000 • 800-257-8290 • Fax 856-848-6091 2.Rates: a) Earned rates are given to advertisers based on advertising frequency within a 12-month period. The earned rate is determined by the number of insertions. A spread counts as two insertions. Full page and fractional pages count as single insertions. Each page of an insert counts as one insertion. b) Agency commission: Fifteen percent gross billings on space, color, cover and preferred position charges. c) Cash discount: Two percent within ten days of invoice date. No discount allowed after this period. 3.Bleed: No charge. 4. Covers and Special Positions: a) Covers: S econd cover: Earned b/w rate plus 25%. Color additional Third cover: Earned b/w rate plus 15%. Color additional. Fourth cover: Earned b/w rate plus 50%. Color additional. b) Other Special Positions: Earned b/w rate plus 15%. Color additional. 5. Online Advertising Rates: Please contact your sales representative for more information. 6. Recruitment/Classified Rates: Please contact your regional sales representative at 800-257-8290. ver.02 TM Healio.com/Spine 8 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 2 of 4 pages Effective Rate Date: January 2016 for all advertisers. Discounts ISSUANCE AND CLOSING Editorial 1.New Advertiser/Product Incentive: New product/advertisers receive a 5% discount off all advertising placed in 2016 with a minimum 3 ad commitment. This discount may be combined with the Continuity Incentive. To qualify as a new product/advertiser, the advertisement must either be for a: a)company that has not advertised in a SLACK Orthopedics publication in the past calendar year b)new product from a company currently advertising with SLACK Orthopedics c) new indication for an existing product currently advertising in SLACK Orthopedics 1 First Issue: March 2014 2.Frequency: 6 times per year 3. Issue Dates: Second week of the month of issue 4. Mailing Date & Class: Mails within the month of issue; Periodical Class. 5. Extensions and Cancellations: a)Extensions: If an extension date for material is agreed upon and material is not received by the Publisher on the agreed date, the advertiser will be charged for the space reserved. b)Cancellations: If, for any reason, an advertisement is cancelled after the closing date, the Publisher reserves the right to repeat a former ad at full rates. If the advertiser has not previously run an ad, the advertiser will be charged for the cost of space reserved. Neither the advertiser nor its agency may cancel advertising after the closing date. 1. General Editorial Direction: Spine Surgery Today strives to be the global, definitive information source for health care professionals who treat or conduct research related to spine by delivering timely, accurate, authoritative and balanced reports on the clinical issues, socioeconomic topics and spine industry developments, as well as presenting clinically relevant information on the surgical techniques, products, procedures and technologies used in spine surgery. 2. Orthopedics Combination Discount: Commit to all 6 issues of Spine Surgery Today and get 6 free ads of comparable size in ORTHOPEDICS (for example a King 4C in ORTHOPEDICS TODAY earns a Full Page 4C ad in ORTHOPEDICS). 3. Global Continuity Incentive: To encourage companies to advertise more consistently, the Global Continuity Incentive allows advertisements for an individual product family (Knee, Hip, etc.) to receive a discount based upon the number of issues in which they advertise across all SLACK Orthopedics Publications. Issue insertions do not need to be consecutive. This program may be combined with the New Advertiser/Product Incentive Program. a) 6 issues = 5% off d) 24 issues = 20% off b) 12 issues = 10% off e) 30 issues = 25% off c) 18 issues = 15% off 4. SLACK Corporate Discount: Take advantage of SLACK’s advertising, custom publishing, event management and other marketing services in 2016 and earn valuable discounts in 2017. Spend levels achieved in the year 2016 will determine your Corporate Discount savings in 2017 based on a total net spend. 5. When taking advantage of more than one discount program, discounts must be taken in the following order: Gross Cost: a) Less New Advertiser/Product Incentive b) Less Global Continuity Incentive c) Less SLACK Corporate Discount d) Less 15% Agency Discount Equals Net Cost 2. Average Issue Information: a) Average number of articles per year: 300 b) Average article length: 600 words 3. Origin of Editorial: a) Staff Written: 50% b) Solicited: 30% c) Submitted: 5% d) Articles or abstracts from meetings or other publications: 15% TM Healio.com/Spine 9 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 3 of 4 pages Effective Rate Date: January 2016 for all advertisers. CIRCULATION General Information 1. Description of Circulation Parameters: a) Neurologists, Pediatric Orthopedic Surgeons, Reconstructive Orthopedic Surgeons, Orthopedic Spine Surgeons, Sports Medicine Orthopedic Surgeons, Orthopedic Surgeons, Orthopedic Trauma Surgeon, Physical Medicine and Rehabilitation Physicians, General Surgeons, Neurosurgeons, Pediatric Neurosurgeons. 1. Requirements for Advertising Acceptance: Advertisements for professional and non-professional products or services are accepted provided they are in harmony with the policy of service to the healthcare profession and subject to Publisher’s approval. Non-professional product and service advertisers must submit ad copy two weeks prior to closing date. 2. New Product Releases: Yes 3. Editorial Research: Yes 4. Ad Format and Placement Policy: a)Format: within articles b) Ads rotated: Yes 5. Ad/Edit Information: 50/50 Ad/Edit Ratio 6. Value-Added Services: a) Bonus Distribution: See Editorial Calendar b) Product Update Section: Space available basis c) Advertiser Index 7. Online Advertising Opportunities: Contact your sales representative or visit Healio.com/SST. 8. Additional Advertising Opportunities a) BRC Inserts: See insert information under 5b on page 10 for specifications. b) Split-run advertising: Contact publisher for information 9. Reprint Availability: Yes, email [email protected]. 10. Publisher’s Liability: Publisher shall not be liable for any failure to print, publish, or circulate all or any portion of any issue in which an advertisement accepted by Publisher is contained if such failure is due to acts of God, strikes, war, accidents, or other circumstances beyond Publisher’s control. Specialty: Total Orthopedic Spine Surgeons 892 Orthopedic Surgeons 3,181 Neurosurgeons 3,533 Other Specialties performing spine procedures TOTAL: 568 8,174 2. Demographic Selection Criteria: a)Age: N/A b)Prescribing: N/A c) Circulation distribution: Controlled: 100% Request (non-postal): 0% d) Paid information: Association members: N/A Is publication received as part of dues? No e) Subscription rates: U.S.: $174/yr. individual; outside U.S. add $78 per/yr. 3. Circulation Verification: a) Audit: Business Publication Audits Worldwide (BPA) b) Mailing House: Publishers Press 4.Coverage: Date and source of breakdown: BPA Audit Pending 5. Anticipated circulation modifications or changes effective January 2016: a) Additions: None b) Modifications: None c) Deletions: None d) Estimated total circulation for 2016: 8,174 11. Indemnification of Publisher: In consideration of publication of an advertisement, the advertiser and the agency, jointly and separately, will indemnify, defend, and hold harmless the magazine, its officers, agents, and employees against expenses (including legal fees) and losses resulting from the publication of the contents of the advertisement, including without limitation, claims or suits for libel, violation of right of privacy, copyright infringements, or plagiarism. 12. Competitor Information: Spine Surgery Today does not accept advertisements that contain competitor(s’) names, publication covers, logos or other content. 13.Advertorials: In order to be considered for acceptance, advertisements or inserts which contain text or copy describing a product or surgical technique, must be substantially different in text and font of the receiving publication and the word “ADVERTORIAL” or “ADVERTISEMENT” will be prominently displayed in 10 point black type in ALL CAPS at the center top of each page. 14. Billing Policy: Billing to the advertising agency is based on acceptance by the advertiser of “dual responsibility” for payment if the agency does not remit within 90 days. The Publisher will not be bound by any conditions, printed or otherwise, appearing on any insertion order or contract when they conflict with the terms and conditions of this rate card. TM Healio.com/Spine 10 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us 4 of 4 pages Effective Rate Date: January 2016 for all advertisers. AD Specifications 1. INSERT INFORMATION Available Advertising Unit Sizes: Ad sizes: Non-bleed (Live area) sizes: Width King Spread King Page 3/4 Page (Vertical) 3/4 Page (Horizontal) Island 1/2 Page Island Spread 1/2 Page (Vertical) 1/2 Page (Horizontal) 1/3 Page 1/4 Page (Vertical Block) 1/4 Page (Horizontal Block) 1/4 Page (Vertical Strip) 1/4 Page (Horizontal Strip) 1/8 Page (Vertical Block) 1/8 Page (Horizontal Block) 20.5" 10" 7.05" 10" 7.13" 14.6" 4.68" 10" 4.68" 4.68" 7.13" 2.23" 10" 2.23" 4.68" x x x x x x x x x x x x x x x Trim sizes: Height Width 13.5" 13.5" 13.5" 10" 10" 10" 13.5" 6.5" 10" 6.25" 4.75" 13.5" 3" 6.25" 2.84" 21" 10.5" 7.55" 10.5" 7.63" 15.1" 5.18" 10.5" 5.18" 5.18" 7.63" 2.73" 10.5" 2.73" 5.18" Height x x x x x x x x x x x x x x x 14" 14" 14" 10.5" 10.5" 10.5" 14" 7.0" 10.5" 6.75" 5.25" 14" 3.5" 6.75" 3.34" a) Trim size of journal: 10.5" x 14" b) To view thumbnails of ads specs, visit healio.com/slackadspecs. For spread ads, keep content (images/text) 1/4" in on each side of the gutter. For bleed ads, add 1/8" on all sides of trim size. 2. Paper Stock: a) Inside pages: 40# coated b) Covers: 70# coated 3. Type of Binding: Saddle-stitch or Perfect bound 4. Ad Requirements: For specifications, go to: healio.com/slackadspecs Color Proofs: One proof made from supplied files and meeting SWOP specifications must be provided with data file. Proof must be at 100% of the print size. Publisher accepts Kodak approvals, Matchprints, Chromalins, Highend Epson Quality or Iris Digital Proofs. If only color lasers are furnished, color match on press cannot be guaranteed. Note: Spread ads should be sent as a one-page file. 1. Availability and Acceptance: a) Availability: Two- to eight-page inserts are available full run. Demographic and/or geographic inserts are also available. b) Acceptance: A paper sample of the insert must be submitted to the Publisher for approval. 2. Insert Charges: a) Furnished inserts: Billed at black-and-white space rate at frequency earned on a page-for-page basis, plus a $395 non-commisionable tip-in fee. b) A-size inserts: Charged at the island/half page rate. c) Tabloid-size inserts: Charged at the king page rate. 3. Sizes and Specifications: No. of Pages Paper Stock Max Min Max Micrometer Reading 2 page (one leaf) 80# coated text 70# coated text .004" 4, 6, 8 page .004" 70# coated text 60# coated text a)Full-size inserts: Supplied untrimmed, printed, folded (except single leaf), and ready for binding. Varnished inserts are acceptable at the Publisher’s discretion. b) A -size inserts: Supply size 8 1/8” x 11” pre-trimmed on head and face. 1/8” foot trim. 4.Trimming: Trimming of oversized inserts will be charged at cost. Keep live matter 1/2” from trim edges and 3/16” from gutter trim. Inserts are jogged to foot. Trims 1/8” from head, face and foot. 5.BRCs: a)Pricing: Charge is $395 when accompanied by a minimum of an island/half page advertisement. Non-Commissionable. b) BRC Specifications: 31/2” x 5” minimum to 4 1/4” x 6” maximum; perforated with 1/2” lip (from perforation) for binding. Add 1/8” for foot trim. Cardstock minimum: 75# bulk or higher. 6.Quantity: 10,000 (estimated). Exact quantity will be given upon Publisher’s approval of insert (or call Publisher prior to closing date). 7.Shipping: Inserts must be shipped in cartons and have publication name, issue date, and insert quantity clearly marked. Inserts shipped in e-containers cannot be verified and SLACK will not be responsible for shortages on press. contact information Insertion Orders Send product insertion orders and ad materials to: Denise Ulrich Sales Administrator Spine Surgery Today c/o SLACK Incorporated 6900 Grove Road Thorofare, NJ 08086-9447 [email protected] 856-848-1000 x475 Fax: 856-848-6091 Send inserts to: Mark Henson Spine Surgery Today Publishers Press 100 Frank E. Simon Ave. Shepherdsville, KY 40165 Media: CDs and DVDs. Ads will not be accepted via email. Ftp site available. 5. Disposition of Ad Material: Ad material will be held one year from date of last insertion and then destroyed unless notified otherwise in writing. terms and conditions Click to view print advertising terms and conditions TM Healio.com/Spine 11 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us Sources 1 of 3 pages Reach doctors online. When accessing clinical information, physicians don't rely on one source – they use both print and online. Digital sources of information continue to increase their value to physicians. Healio now with responsive design! Professional Internet Usage All physicians KOLs Smartphone 89% 57% 1+ times daily Digital Devices Used for Professional Purposes 4+ times daily Medical Publications are among doctors’ top most important sources of information Tablet 84% 91% 56% 66% All physicians KOLs 71 61 % Print % Online All physicians KOLs Physicians age <35 ranked medical publications accessed online as 1 # their most important source of information. Source: All data from the Kantar Media, Sources & Interactions Study, September 2014 and March 2015 Medical/Surgical Edition. TM Spine Surgery Healio.com/Spine 12 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us Interactions 2 of 3 pages Top tasks Physicians performed: Desktop/Laptop/Computer. 84 % Participate in educational activities 71 % Consider the facts. Read professional news updates 75 % Read articles from medical publications 71 % Access meetings/convention information Add Healio to your multichannel marketing plans. Healio.com/Spine is the online home of Spine Surgery Today Source: All data from the Kantar Media, Sources & Interactions Study, September 2014 and March 2015 Medical/Surgical Edition. TM Spine Surgery Healio.com/Spine 13 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us Opportunities 3 of 3 pages Let us create a multichannel program for you. Right now you could be engaging thousands of specialists with the right content and multichannel strategy. Healio.com extends the audience connection of SLACK’S respected and trusted publications, offering specialty-specific sponsorship and contextual advertising opportunities. And with its responsive design, your message will be optimized for best viewability and engagement. Healio.com 2016 online advertising opportunities CONVENTION OPPORTUNITIES WEBSITE Specialists delivered daily Promote your presence Content Marketing EDUCATION LAB Showcase your activities EMAIL Reach 85% of your market Great content = Engaged readers TM Spine Surgery Healio.com/Spine 14 Home About Us Editorial Readership Scores Circulation Calendar Rate Card Contact Us Create a multichannel media strategy. What can Spine Surgery Today do for you? Volume 2 • Number 2 MARCH/APRIL 2015 Healio.com/Spine Web Watch Multiple epidural injections Spine surgeon referral may be appropriate for some patients who receive epidural steroid injections for neck pain and cervical radiculopathy. 13 A SLACK Incorporated® publication DEFORMITY Long-term progression of childhood AIS varies Scoliosis curve progression in adulthood correlated with curve magnitude in childhood and fusion surgery typically halted later curve progression. 8 IN THE JOURNALS Navigated, non-navigated kyphoplasty may produce similar outcomes Research showed kyphoplasty performed with or without navigation technology showed similar overall rates of cement leakage. 26 CERVICAL Cervical plate fixation positively affects discectomy outcomes Anterior cervical plating yielded greater lordosis angle after 2-level anterior cervical discectomy at 1 postoperative year. 15 SPINE CODING SOURCE Sampling of questions helps with coding and billing This installment of Spine Coding Source column discusses CPT coding perspectives for implant removal, grafting. 21 COVER STORY Minimally invasive spine surgery effective for many indications, but difficult to learn Techniques and procedures for minimally invasive surgery of the spine have developed considerably in recent decades and have since become more popular among spine surgeons, in some cases even more so than the traditional open approaches, according to sources who spoke with Spine Surgery Today. Gary Ghiselli, MD, said he finds minimally invasive surgery (MIS) of the spine more cost-effective than open surgery. It does more to address the quality of life for patients during the immediate recovery period, “as well as the long-term viability of the muscles and tissues overlying the spine,” he said. With experience, published studies have shown complication rates can be equivalent to, but usually less than those encountered with traditional open approaches, according to Ghiselli. “As such, if the same surgical procedure can be performed to the same technical degree with less tissue damage, then it makes logical sense that the effectiveness and surgical outcomes should be at least equivalent, but probably superior,” Ghiselli, of Denver, said. “There are many published studies that compare the effectiveness of MIS surgery with traditional open surgery that support this statement. Opponents of MIS opine that ‘traditional’ open surgery allows better exposure and access, as well as a more technically precise operation than can be performed with a MIS approach. The evidence simply does not support that statement,” Ghiselli told Spine Surgery Today. Cover story continues on page 10 Patrick Duffey Joan-Marie Stiglich, ELS Vice President, Sales and Marketing, Surgery and Related Sciences Chief Content Officer Carolyn Boerner Director of Sales Administration [email protected], ext. 355 Gary Ghiselli, MD, has found minimally invasive spine surgery is cost effective, but urged caution with all new surgical innovations. SPORT 8-year results help physicians manage symptomatic lumbar stenosis The latest SPORT study results showed that at 8 years post-treatment some groups of patients with symptomatic lumbar spinal stenosis who opted for conservative care did as well at long-term follow-up as patients who underwent surgery. Earlier results of the Spine Patient Outcomes Research Trial (SPORT) study for Publishing Office: [email protected], ext. 262 Image: Laura Kinser EXCLUSIVES Advertising Office: this indication suggested surgery offered more benefits for these patients. However, Jon D. Lurie, MD, MS, and colleagues updated those results with findings from longer term follow-up of the patients. According to Lurie, surgery vs. nonoperative treatment varies by patient, symptoms, degree of activity and other factors. “As a result, the value of SPORT is not in providing one definitive answer to the question of whether surgery is better than nonoperative treatment, but in providing detailed data on the risks and outcomes of each treatment to help patients make individualized, shared decisions,” he told Spine Surgery Today. Steven J. Atlas, MD, MPH, of Boston, and Carlo Ammendolia, DC, PhD, of Toronto, provide perspectives. For more on this story, see page 6 Kristine Houck, MA, ELS Editor in Chief Gina Brockenbrough, MA Managing Editor, Orthopedics Today Denise Ulrich Susan Rapp Sales Administrator Executive Editor, Orthopaedics Today Europe [email protected], ext. 475 John Kain Circulation Manager Patients may not always see minimally invasive surgery benefits In a Commentary, Scott D. Boden, MD, Chief Medical Editor, Orthopedic Surgery of SPINE SURGERY TODAY discusses why the costs associated with minimally invasive spine surgery must be controlled during the transition to a value-based economy. 3 SST0315pgs1,10-13.indd 1 3/4/2015 11:23:17 AM 6900 Grove Road Thorofare, New Jersey 08086-9447 800-257-8290 • 856-848-1000 Fax 856-848-6091 TM Healio.com/Spine 15