The Backbone of Growth

“The Center for Spine Surgery in Wilmington, Delaware, has ambitious growth plans. The ASC opened in August 2023 and began slowly, performing a few cases each month as it secured Medicare certification and accreditation. Throughout 2024, it steadily increased its volume. By the end of 2025, the center was performing around 135 spine surgery cases each month. ‘Spine in ASCs is the wave of the future, and I expect more facilities to focus on it,’ says Pawan Rastogi, MD, president of the Center for Spine Surgery’s board of directors and one of its practicing surgeons. ‘With advancing technology and expanding coverage, I expect us to get to around 200 monthly cases within the next two years.’ Reaching this point has not been easy, nor inexpensive, Rastogi notes. ‘It costs a lot to bring in the technology. We have an O-arm, C-arms and microscopes, and are evaluating a potential robot. You need sufficient case volume to justify these investments and to demonstrate your capabilities to payers.'”