08/14/2025
What if spine surgeons were ranked on value, not just how many procedures they perform?
In this clip from The Spine Pod, Dr. Ahilan “Siva” Sivaganesan shares a visualization that could rewrite the rules:
📈 Y-axis = patient improvement (measured by the Neck Disability Index)
💰 X-axis = intraoperative cost
🎯 Top left quadrant = better outcomes at lower cost
It’s a system that rewards choosing the right treatment, even if that means less invasive surgery, or sometimes no surgery at all. Imagine if every patient could see this kind of “value dashboard” before making a decision.
This isn’t about shaming surgeons, it’s about setting the scoreboard so the game rewards what matters: patient outcomes, efficiency, and ethics.
🎧 Full episode with Dr. Siva streaming on The Spine Pod.