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1. Costs for Spine Fusions, 2018
   hcup-us.ahrq.gov/reports/infographics/281_spinal-fusions.jsp
   January 01, 2022 - Costs for Spine Fusions, 2018 … Archive DATA VISUALIZATIONS DATA QUERY TOOLS Costs for Spine … Fusions, 2018   Costs for Spine Fusions, 2018 (Picture of AHRQ Logo) … Total Number of Spine Fusions: 455,500 Most Costly Operating Room Procedure, Hospital Stays Totaling … Internet Citation: Costs for Spine Fusions, 2018 Healthcare Cost and Utilization Project (HCUP

2. Infographic - Costs for Spine Fusions (pdf file)
   hcup-us.ahrq.gov/reports/infographics/281_spinal-fusions.pdf
   January 14, 2022 - Infographic - Costs for Spine Fusions Costs for Spine Fusions Source: AHRQ, Healthcare Cost

3. Com-ICD10CMChgLg-v20211-v20221 (xls file)
   hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-ChangeLog-v20211-v20221.xlsx
   October 01, 2021 - connective tissue AUTOIMMUNE M45A0 Non-radiographic axial spondyloarthritis of unspecified sites in spine … foot in infectious and parasitic diseases classified elsewhere AUTOIMMUNE M01X8 Direct infection of vertebrae … Postdysenteric arthropathy, unspecified ankle and foot AUTOIMMUNE M0218 Postdysenteric arthropathy, vertebrae … AUTOIMMUNE M02379 Reiter's disease, unspecified ankle and foot AUTOIMMUNE M0238 Reiter's disease, vertebrae … reactive arthropathies, unspecified ankle and foot AUTOIMMUNE M0288 Other reactive arthropathies, vertebrae

4. Exhibit 3.6. Orthopedic Procedures
   hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_3_6C.jsp
   January 01, 2005 - 11,000 46,700 54,000 11,700 158 Spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae) 349,200 21 13,900 95,900 162,300 74,900 2,300 … 1.2 0.5 1.8 4.2 4.4 4.7 158 Spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae) 10.3 0.3 7.0 16.1 14.6 6.1 0.9 145 Treatment … by joining two or more vertebrae) 18,995 10 2,303 5,756 9,411 4,358 168 145

5. Exhibit 3.6. Orthopedic Procedures
   hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_3_6B.jsp
   January 01, 2005 - procedures 2,761,800 3,399,600 23.1 158 Spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae) 146,300 349,400 138.8 152 Arthroplasty of knee (surgical … procedures 69,506 99,097   158 Spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae) 8,291 18,995   152 Arthroplasty of knee (surgical

6. PRCCSR-ChangeLog-v20211-v20221 (xls file)
   hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR-ChangeLog-v20211-v20221.xlsx
   October 01, 2021 - Body Tether, Open Approach MST012 Bone fixation (excluding extremities) 0PS443Z Reposition Thoracic Vertebra … Body Tether, Open Approach MST012 Bone fixation (excluding extremities) 0QS043Z Reposition Lumbar Vertebra … , New Technology Group 7 MST012 Bone fixation (excluding extremities) XNS03C7 Reposition of Lumbar Vertebra … New Technology Group 7 MST012 Bone fixation (excluding extremities) XNS40C7 Reposition of Thoracic Vertebra … New Technology Group 7 MST012 Bone fixation (excluding extremities) XNS43C7 Reposition of Thoracic Vertebra

7. Change Log (v2024.1 to v2025.1) for the Clinical Classifications Software Refined (CCSR) for ICD-10-PCS (xls file)
   hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR-ChangeLog-v20241-v20251.xlsx
   November 01, 2024 - Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Approach, New Technology Group 10 MST013 Spine … 2 to 7 Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 MST013 Spine … or more Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 MST013 Spine … 2 or more Lumbar Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 MST013 Spine … Stabilization Device into Lumbosacral Joint, Percutaneous Approach, New Technology Group 10 MST013 Spine

8. PRCCSR ChangeLog v20221 v20231 (xls file)
   hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR-ChangeLog-v20231-v20241.xlsx
   December 01, 2023 - Interstitial Thermal Therapy, Open Approach 'MST018' Bone excision 0P533Z3 Destruction of Cervical Vertebra … Design Internal Fixation Device, Open Approach, New Technology Group 9 'MST014' Joint fusion (excluding spine … Design Internal Fixation Device, Open Approach, New Technology Group 9 'MST014' Joint fusion (excluding spine … Design Internal Fixation Device, Open Approach, New Technology Group 9 'MST014' Joint fusion (excluding spine … Design Internal Fixation Device, Open Approach, New Technology Group 9 'MST014' Joint fusion (excluding spine

9. Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb281-Operating-Room-Procedures-During-Hospitalization-2018.pdf
   January 01, 2018 - ■ Spine fusion was the most costly principal OR procedure in 2018, with stays for this procedure totaling … fusion 103,100 238.9 3 Hip arthroplasty 99,400 241.9 3 Hip arthroplasty 99,200 229.7 4 Spine fusion … Three musculoskeletal procedures—spine fusion, knee arthroplasty, and hip arthroplasty—were the three … fusion 1,990 8.2 56,800 2 Spine fusion 2,117 10.2 62,300 3 PCI 1,790 7.4 74,800 3 Hip arthroplasty … Together with stays for spine fusion, stays for these musculoskeletal procedures accounted for 19.1

10. Statistical Brief #34
    hcup-us.ahrq.gov/reports/statbriefs/sb34.jsp
    July 01, 2007 - or replacement of knee), hip replacement, and spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae). … by joining two or more vertebrae) – 159: Other diagnostic procedures on musculoskeletal system … Trends and variations in the use of spine surgery. … by joining two or more vertebrae) 325,100 4.1 $19,600 $6.0 billion 52 53.9% 6.0% 0.3%

11. HCUP Statistical Brief #34: Hospital Stays Involving Musculoskeletal Procedures, 1997–2005 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb34.pdf
    July 01, 2007 - or replacement of knee), hip replacement, and spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae). … Trends and variations in the use of spine surgery. … by joining two or more vertebrae) – 159: Other diagnostic procedures on musculoskeletal system … by joining two or more vertebrae) 325,100 4.1 $19,600 $6.0 billion 52

12. HCUP_methods_series_cover.ai (pdf file)
    hcup-us.ahrq.gov/reports/methods/2004_6_appendix_E.pdf
    January 01, 2004 - United States (NIS) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Total Head and Neck Spine … Matrix, Connecticut SID 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Total Head and Neck Spine … Matrix, Georgia SID 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Total Head and Neck Spine … Matrix, West Virginia SID 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Total Head and Neck Spine … Matrix, Minnesota SEDD 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Total Head and Neck Spine

13. Differences in Hospital Stays With Operating Room Procedures by Patient Race and Ethnicity, 2019 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb297-OR-procedures-racial-disparities-2019.pdf
    January 01, 2019 - , 1.6 to 2.8 times higher for percutaneous coronary interventions, and 1.6 to 4.8 times higher for spine … Appendectomy 51.0 28.9 38.8 63.7 47.0 4 Fixation of leg and foot bones 44.9 12.8 63.1 35.7 44.7 5 Spine …  White NH children had the highest rate of stays with bone fixation, spine fusion, bone excision, …  White NH adults had the highest rate of stays with spine fusion and vertebral discectomy. 8 … stays with hip arthroplasty, knee arthroplasty, percutaneous coronary interventions, femur fixation, spine

14. Hospitalizations for Circulatory System Disorders, 2004 (pdf file)
    hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
    July 01, 2011 - surgical stays with knee and hip replacement procedures (274,207); and surgical stays with CABG; spine … c Includes CABG mediastinitis; surgical site infection following spine, neck, shoulder, or elbow orthopedic … b Selected surgical patients with CABG, orthopedic procedures of the spine, neck, shoulder, or elbow, … replacement. § Surgical site infection includes CABG mediastinitis; surgical site infection following spine … replacement. § Surgical site infection includes CABG mediastinitis; surgical site infection following spine

15. An Example of Using Present on Admission Data: CMS-Defined Hospital-Acquired Conditions in All-Payer Data
    hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
    August 01, 2011 - ; surgical stays with knee and hip replacement procedures (274,207); and surgical stays with CABG; spine … c Includes CABG mediastinitis; surgical site infection following spine, neck, shoulder, or elbow orthopedic … b Selected surgical patients with CABG, orthopedic procedures of the spine, neck, shoulder, or elbow … Note: Surgical site infection includes CABG mediastinitis; surgical site infection following spine, neck … Note: Surgical site infection includes CABG mediastinitis; surgical site infection following spine, neck

16. PRCCSR-ChangeLog-v20221-v20231 (xls file)
    hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR-ChangeLog-v20221-v20231.xlsx
    November 01, 2022 - Approach, New Technology Group 8 HEP004 Hepatobiliary resection and ablation XKUC068 Supplement Upper Spine … 8 MST022 Tendon, muscle, bursa, and ligament repair (excluding perineal) XKUD068 Supplement Lower Spine … Fixation Device with Tulip Connector, Open Approach, New Technology Group 8 MST014 Joint fusion (excluding spine … with Tulip Connector, Percutaneous Approach, New Technology Group 8 MST014 Joint fusion (excluding spine … with Tulip Connector, Percutaneous Approach, New Technology Group 8 MST014 Joint fusion (excluding spine

17. Pc2015
    hcup-us.ahrq.gov/toolssoftware/procedure/pc2015.csv
    January 01, 2012 - THECA SHUNT 4 '0398' REMOVE SPINE THECA SHUNT 4 '0399' SPINE CANAL STRUC OP NEC 4 '0401' ACOUSTIC … NOS (Begin 2001) 4 '8131' REFUSION ATLASAXIS SPINE(Begin 2001) 4 '8132' REFUSION CERVICAL SPINE ANT … (Begin 2001) 4 '8133' REFUSION CERVICAL SPINE POST (Begin 2001) 4 '8134' REFUSION DORSAL SPINE ANT … (Begin 2001) 4 '8135' REFUSION DORSAL SPINE POST T (Begin 2001) 4 '8136' REFUSION LUMBAR SPINE ANT( … Begin 2001) 4 '8137' REFUSION LUMBAR SPINE LAT(Begin 2001) 4 '8138' REFUSION LUMBAR SPINE POST (Begin

18. Statistical Brief #85: Inpatient Stays in Rural Hospitals, 2007 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb85.pdf
    January 01, 2010 - These were back problems (disorders of intervertebral discs and bones in the spinal column), complication … cardioverter/defibrillator (60.5 percent), and spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae)(78.0 percent). … 28.2 4 Circumcision 151 72.6 1 55 26.4 5 Spinal fusion (correction of an unstable part of the spine … by joining two or more vertebrae) 15 21.9 32 53 78.0 6 Respiratory intubation and mechanical

19. HCUP Statistical Brief #19: Common Injuries That Result in Hospitalization, 2004 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb19.pdf
    November 01, 2006 - Other fractures included spine, rib, and pelvis fractures (9.9 percent), arm fractures (8.6 percent) … 1 Hip fracture 304,300 16.0% $12,000 6.3 2.9% 2 Leg fracture 284,900 15.0% $10,700 4.7 0.6% 3 Spine … 38.1%) Leg fracture 1 31,700 (15.0%) 1 95,500 (16.1%) 1 80,300 (20.7%) 3 75,800 (10.9%) Spine

20. HCUP_methods_series_cover.ai (pdf file)
    hcup-us.ahrq.gov/reports/methods/2004_6_appendix_D.pdf
    January 01, 2004 - the Secondary Diagnoses Percent of Head and Neck Injury Discharges with an E Code Percent of Spine … 2005 Table 4b: Percent of Injury Discharges with an Injury E Code by Modified Barell Matrix for the Spine … the Secondary Diagnoses Percent of Head and Neck Injury Discharges with an E Code Percent of Spine … 2005 Table 15b: Percent of Injury Records with an Injury E Code by Modified Barell Matrix for the Spine … /2/2005 Table 26b: Percent of Injury Records with an Injury E Code by Modified Barell Matrix for Spine