Becker's Healthcare December 1, 2025
Carly Behm

Vijay Yanamadala, MD, of Hartford (Conn.) Healthcare has leveled up his spine practice over the last five years, especially with refining awake spine surgery.

Dr. Yanamadala said he refined his anesthesia protocols, widened the age range of patients and increased efficiency. He shared why awake spine surgery is well-poised for ASC adoption.

Note: This conversation was lightly edited. Read the full conversation here.

Question: How do you predict awake spine surgery will evolve in 2026 and then in the next five years?

Dr. Vijay Yanamadala: By 2026 I predict we’ll see awake techniques become standard practice for single-level decompressions and minimally invasive fusions at major spine centers. Centers that have been doing this work such as the University of Miami,...

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