Roger Hartl, MD, Director of Neurosurgery Spine at Weill Cornell Medicine, and Neurosurgical Director of Och Spine at NewYork-Presbyterian/Weill Cornell Medical Center
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What is Dr. Roger Hartl's background and expertise in spine surgery?
this is carly beam with the becker spine and orthopedics podcast and i'm thrilled to be joined today by dr roger harlow with wild cornell medicine dr harlow thank you so much for being here today carly thanks so much for having me back on this podcast i'm very happy and i wish you a happy new year likewise likewise and dr harlem if you could just introduce yourself and tell us a bit more about your background just for anyone new who might be uh listening
Yeah, I'm happy to do that. I'm a neurosurgeon. I'm a spine neurosurgeon at this point in my career. I run the spine program at Weill Cornell Medicine in New York City, and I'm one of the co-directors of ArcSpine at New York Presbyterian Hospital in New York City.
And Dr. Haro, can you talk about the top three trends you're following in healthcare and in spine surgery today?
Sure. We have an integrated and very large program now. We're at New York Presbyterian Hospital in New York City. And what we've done over the last 10 years is really integrate the spine programs at Columbia Cornell under the umbrella of New York Presbyterian Hospital. And in that role, of course, and I do this together with Larry Lanky, who's like Dean Cha, who are my main counterparts at the Columbia campus, and with Dan Ruh here at Cornell. But obviously working with a large group of healthcare providers, surgical, non-operative, from really multiple disciplines that are all importantly involved in the care of patients with back issues. You know, there's so many things that come up all the time that are really relevant and sometimes directly related to surgery, sometimes a little bit outside surgery.
But what I've seen over the last year has become really more and more interesting and I think relevant in our care of patients with back and neck issues is certainly, I would say there are three things. There's artificial intelligence, of course, as in many aspects of life and health care.
What are the top three trends shaping spine care today?
What I see evolve more and more is biologics, you know, disc repair, especially for degenerative disc disease. I'm not talking about fusion biologics, really more biologics in terms of disc repair, disc regeneration, and sometimes even disc replacement. And then finally, as a surgeon in the operating room who's very excited about minimally invasive spine surgery, I think that whole area of navigation and robotics is really fascinating. So those are the three. areas that I follow very closely amongst many others, but those are three areas within spine surgery and medicine, spine medicine, that I think are the most exciting. Artificial intelligence, biologics, and the whole area of navigation and robotics.
You know, I want to hone in on what you're talking about with biologics. It's still, you know, very there needs to be a lot more research in this area and spine orthopedics. And I'm wondering what kinds of innovations in spine biologics could elaborate more on what's exciting you in that area and what you think will really define this year when it comes to spine biologics.
Yeah, I think the challenge with spine biologics is partially, obviously, the regulatory pathway that has really challenged our ability to pursue some of the fascinating strategies that come to mind when you're thinking about degenerative disc disease and biologics. I think we've got a lot of data now. showing that augmentation of disease discs with various types of stem cells, autologous or allograft stem cells, holds a significant promise. What I'm very excited about is our current work on angular repair because, you know, one of the biggest untapped needs in spine surgery is that whole problem of recurrent disc herniation in patients who have a discectomy in the cervical or lumbar spine. And then there's not much that we can do really to prevent the disc from further degenerating or even reherniating.
How is artificial intelligence transforming spine surgery?
So the whole area of recurrent disc herniation and the opportunity that I think biologics can potentially give us here to prevent that from really happening over time. I've done a lot of research in my lab.
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Chapters
8 chapters
1
What is Dr. Roger Hartl's background and expertise in spine surgery?
0:00–2:10
2
What are the top three trends shaping spine care today?
2:10–4:26
3
How is artificial intelligence transforming spine surgery?
4:26–5:41
4
What innovations are being made in spine biologics?
5:41–6:59
5
How does multidisciplinary collaboration enhance spine care?
6:59–8:25
6
What challenges arise in creating integrated spine programs?
8:25–9:38
7
How can AI improve surgical workflows and patient outcomes?
9:38–10:40
8
What is the importance of patient communication in spine surgery?
10:40–17:52
Speakers
2 identifiedMore from Becker’s Healthcare -- Spine and Orthopedic Podcast
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Advancing Surgical Intelligence in Spine and Cranial Care with Dr. Osamah Choudhry