Healio.com/Spine
Volume 1 • Number 1
JANUARY 2014
Web Watch Spinal fusion and physicians-owned distributorships OIG finds devices used in spinal fusion surgery that were supplied by physician-owned distributorships did not lower costs. 6
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With back pain becoming increasingly more common, disc research should focus on disc preservation. 6 Smoking increased radiographic damage in ankylosing spondylitis patients Patients with ankylosing spondylitis who smoked had a 5.5-fold effect of disease activity on radiographic damage. 16 Young athletes have high rate of sports-related low back pain injury Low back pain is the third most common sportsrelated injury in young athletes after knee and ankle injuries 30 IN THE JOURNALS
Patients have similar benefits after anterior, posterior approach for cervical spondylotic myelopathy Patients who underwent either anterior cervical discectomy and fusion combined with segmental corpectomy or posterior laminectomy and fusion for treatment of fourlevel cervical spondylotic myelopathy had improved outcomes. Visit the Education Lab at Healio.com/education-lab
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COVER STORY
Debate concerning viability of vertebroplasty fueled by AAOS guidelines In late September, the American Academy of Orthopaedic Surgeons released new clinical practice guidelines that recommended against the use of Vertebroplasty — the use of bone cement to fill fractured vertebrae — in the treatment of osteoporotic vertebral compression fractures. The guidelines, which specifically focused on those patients who were neurologically intact and presented with spinal compression fractures on imaging with correlated clinical signs and symptoms, were based primarily upon the evidence presented in two level 1 studies published in the New England Journal of Medicine (NEJM) that found vertebroplasty to be no more effective than sham procedures or placebo. Controversy followed, however, as results of another clinical trial — Vertos II — indicated that vertebroplasty was, in fact, safe and effective when compared to conservative treatment in dealing with acute osteoporotic vertebral compression fractures. Criticisms of the NEJM studies, the Vertos II study and the American Academy of Orthopaedic Surgeons (AAOS) guidelines have since been leveled, with vertebroplasty’s viability as a treatment for osteoporotic vertebral compression fractures the primary point of debate. “I think the most interesting question is: Is there a proper amount of clinical evidence to support the use of vertebroplasty? The answer is, undoubtedly, no,” said Stephen I. Esses, MD, chairman of the evidence-based research team that formulated the Cover story continues on page 10
Circulation: 8,111
Stephen I. Esses, MD, is the chairman of the American Academy of Orthopaedic Surgeons workgroup that issued a clinical practice guideline against the use of vertebroplasty
Vertebral augmentation provides better survival in patients with vertebral compression fractures “Our results suggest that the beneficial impact of minimally invasive surgery for vertebral compression fractures reaches beyond the acute phase and improves post-discharge survival and morbidity,” Richard L. Skolasky Jr., ScD, associate professor at The Johns Hopkins Hospital’s Department of Orthope-
dic Surgery and Spine Outcomes Research Center, stated in a press release. The researchers examined Kaplan-Meier and Cox regression analysis results from the 2006 Medicare Provider Analysis and Review File database for 68,752 patients who underwent nonoperative treatment, kyphoplasty or
vertebroplasty. They found 3-year survival rates were 42.3% for nonoperative treatment, 49.7% for vertebroplasty and 59.9% for kyphoplasty, according to the abstract. Kyphoplasty patients had a 20% lower mortality risk, shorter length of stay and were less likely to develop pneumonia and decubitus ulcers during their hospital stay and at 6-months postoperatively than patients who underwent vertebroplasty. Skolasky and colleagues said although patients in the kyphoplasty group had higher For more on this story, see page 28
Opioid use prior to spine Investigators find gene influences risk of lumbar surgery not linked with increased postoperative disc degeneration A genetic variation found after searching the genome of families in China, Japan and Finland with a history of lumbar disc degeneration. 32
Image:
EXCLUSIVES Disc preservation can reduce number of fusions
2014 Rate Card
complications
The researchers plan to conduct more genome-wide studies to assess other susceptibility genes for LDD. 38
Advertising Office: SLACK Incorporated Vice President, Sales and Marketing: Patrick Duffey
[email protected], ext. 262 National Account Manager: Chelsea Mehaffey
[email protected], ext. 258 Sales Administrator: Denise Ulrich
[email protected] ext. 475 6900 Grove Road • Thorofare, NJ 08086-9447 856-848-1000 • 800-257-8290 • Fax 856-848-6091 European Advertising Office: The Point of Difference Limited European Sales Representative: Jeff Wood DD: +44 (0)161 767 9696 Mobile: +44 (0)78 12 12 12 79 Email:
[email protected] Dick Bower
[email protected] 4 Chase Side Avenue London, SW20 8LU United Kingdom +44 (0)20 8542 3200 • Fax +44 (0)20 8543 3810
Healio.com/Spine
1
Effective Rate Date: January 2014 for all advertisers.
RATES 1. Black-and-White rates: Frequency
1x
3x
6x
12x
18x
24x
36x
48x
60x
72x
96x
120x
144x
196x
252x
$3,250
$3,205
$3,165
$3,125
$3,085
$3,045
$3,005
$2,965
$2,925
$2,885
$2,845
$2,805
$2,770
$2,735
$2,700
¾ Page
2,860
2,820
2,785
2,750
2,715
2,680
2,645
2,610
2,575
2,540
2,500
2,470
2,440
2,400
2,375
Island/Half Page
2,345
2,315
2,285
2,255
2,225
2,200
2,170
2,140
2,110
2,080
2,055
2,025
2,000
1,975
1,950
King Page
1⁄3 Page
1,925
1,895
1,875
1,850
1,825
1,805
1,790
1,755
1,730
1,705
1,685
1,660
1,640
1,620
1,600
¼ Page
1,580
1,555
1,535
1,515
1,500
1,480
1,465
1,440
1,420
1,400
1,380
1,360
1,345
1,330
1,315
1⁄8 Page
1,295
1,275
1,260
1,245
1,230
1,210
1,195
1,180
1,165
1,150
1,130
1,115
1,100
1,090
1,075
Color: In addition to earned black-and-white rates. Charge per color per page or fraction Standard color $710 Matched color 860 Metallic color 1,230 Four color 2,000 Four color + PMS 2,705 Four color + Metallic 3,060 2. Rates: a) Earned rates are given to advertisers based on advertising frequency within a 12-month period. The earned rate is determined by the number of insertions. A spread counts as two insertions. Full page and fractional pages count as single insertions. Each page of an insert counts as one insertion. b) Agency commission: Fifteen percent gross billings on space, color, cover and preferred position charges. c) Cash discount: Two percent within ten days of invoice date. No discount allowed after this period.
3. Bleed: No charge.
DISCOUNTS
4. Covers and Special Positions: a) Covers: Second cover: Earned b/w rate plus 25%. Color additional Third cover: Earned b/w rate plus 15%. Color additional. Fourth cover: Earned b/w rate plus 50%. Color additional. b) Other Special Positions: Earned b/w rate plus 15%. Color additional.
1. Combined Earned Frequency: All insertions of a parent company and its subsidiaries are combined to determine the earned rate. Advertisers may combine space units run in all SLACK publications to achieve maximum rate frequency.
5. Online Advertising Rates: Please contact your sales representative for more information. 6. Recruitment/Classified Rates: Please contact your regional sales representative at 800-257-8290.
2. New Advertiser/Product Incentive: New product/ advertisers receive a 5% discount off all advertising placed in 2014 with a minimum 3 ad commitment. This discount may be combined with the Continuity Incentive. To qualify as a new product/advertiser, the advertisement must either be for a: a) company that has not advertised in a SLACK Orthopedics publication in the past calendar year b) new product from a company currently advertising with SLACK Orthopedics c) new indication for an existing product currently advertising in SLACK Orthopedics 3. Orthopedics Combination Discount: Commit to all 6 issues of SPINE SURGERY TODAY and/or ORTHOPEDICS TODAY and get 6 free ads of comparable size in ORTHOPEDICS (for example a King 4C in SPINE SURGERY TODAY and/or ORTHOPEDICS TODAY earns a Full Page 4C ad in ORTHOPEDICS).
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Effective Rate Date: January 2014 for all advertisers.
4. Global Continuity Incentive: To encourage companies to advertise more consistently, the Global Continuity Incentive allows advertisements for an individual product family (Knee, Hip, etc.) to receive a discount based upon the number of issues in which they advertise across all SLACK Orthopedics Publications. Issue insertions do not need to be consecutive. This program may be combined with the New Advertiser/Product Incentive Program. a) 6 issues = 5% off d) 24 issues = 20% off b) 12 issues = 10% off e) 30 issues = 25% off c) 18 issues = 15% off 5. SLACK Corporate Discount: Take advantage of SLACK’s advertising, custom publishing, event management and other marketing services in 2014 and earn valuable discounts in 2015. Spend levels achieved in the year 2014 will determine your Corporate Discount savings in 2015 based on a total net spend. 6. Online/Print Synergy Program: Advertisers who take advantage of Healio. com’s advertising options will earn credit toward their print advertising earned frequency rate. Credit towards higher earned frequency is as follows: a) One month Section Roadblock advertising counts as one ad page toward earned frequency b) Each Newswire advertisement counts as one ad page toward earned frequency There is no cap on earned credits toward print frequency level. Online value-added does not award credit toward print earned frequency. 7. When taking advantage of more than one discount program, discounts must be taken in the following order: Gross Cost: a) Less New Advertiser/Product Incentive b) Less Global Continuity Incentive c) Less SLACK Corporate Discount d) Less 15% Agency Discount Equals Net Cost
ISSUANCE AND CLOSING
CIRCULATION
1 2. 3. 4. 5.
1. Description of Circulation Parameters: a) Neurologists, Pediatric Orthopedic Surgeons, Reconstructive Orthopedic Surgeons, Orthopedic Spine Surgeons, Sports Medicine Orthopedic Surgeons, Orthopedic Surgeons, Orthopedic Trauma Surgeon, Physical Medicine and Rehabilitation Physicians, General Surgeons, Neurosurgeons, Pediatric Neurosurgeons.
First Issue: March 2014 Frequency: 6 times per year Issue Dates: Second week of the month of issue Mailing Date & Class: Mails within the month of issue; Periodical Class. Extensions and Cancellations: a) Extensions: If an extension date for material is agreed upon and material is not received by the Publisher on the agreed date, the advertiser will be charged for the space reserved. b) Cancellations: If, for any reason, an advertisement is cancelled after the closing date, the Publisher reserves the right to repeat a former ad at full rates. If the advertiser has not previously run an ad, the advertiser will be charged for the cost of space reserved. Neither the advertiser nor its agency may cancel advertising after the closing date.
Specialty: Orthopedic Spine Surgeons
Total 861
Orthopedic Surgeons
3,341
Neurosurgeons
3,188
Other Specialties performing spine procedures TOTAL:
721 8,111
EDITORIAL 1.
General Editorial Direction: SPINE SURGERY TODAY strives to be the global, definitive information source for health care professionals who treat or conduct research related to spine by delivering timely, accurate, authoritative and balanced reports on the clinical issues, socioeconomic topics and spine industry developments, as well as presenting clinically relevant information on the surgical techniques, products, procedures and technologies used in spine surgery.
2.
Average Issue Information: a) Average number of articles per year: 300 b) Average article length: 600 words
3.
Origin of Editorial: a) Staff Written: 50% b) Solicited: 30% c) Submitted: 5% d) Articles or abstracts from meetings or other publications: 15%
2. Demographic Selection Criteria: a) Age: N/A b) Prescribing: N/A c) Circulation distribution: Controlled: 100% Request (non-postal): 0% d) Paid information: Association members: N/A Is publication received as part of dues? No e) Subscription rates: U.S.: $328/yr. individual; Canada: +5% tax; outside U.S. add $78 per/yr. 3. Circulation Verification: a) Audit: Business Publication Audits Worldwide (BPA) b) Mailing House: Publishers Press 4. Coverage: Date and source of breakdown: BPA Application Pending 5. Anticipated circulation modifications or changes effective January 2014: a) Additions: None b) Modifications: None c) Deletions: None d) Estimated total circulation for 2014: 8,111
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Effective Rate Date: January 2014 for all advertisers.
GENERAL INFORMATION 1. Requirements for Advertising Acceptance: Advertisements for professional and non-professional products or services are accepted provided they are in harmony with the policy of service to the healthcare profession and subject to Publisher’s approval. Nonprofessional product and service advertisers must submit ad copy two weeks prior to closing date. 2. New Product Releases: Yes 3. Editorial Research: Yes 4. Ad Format and Placement Policy: a) Format: within articles b) Ads rotated: Yes 5. Ad/Edit Information: 50/50 Ad/Edit Ratio 6. Value-Added Services: a) Bonus Distribution: See Editorial Calendar b) Product Update Section: Space available basis c) Advertiser Index 7. Online Advertising Opportunities: Contact your sales representative or visit Healio.com/Orthopedics. 8. Additional Advertising Opportunities a) BRC Inserts: See insert information under 5b on page 5 for specifications. b) Split-run advertising: Contact publisher for information 9. Reprint Availability: Yes, email
[email protected]. 10. Publisher’s Liability: Publisher shall not be liable for any failure to print, publish, or circulate all or any portion of any issue in which an advertisement accepted by Publisher is contained if such failure is due to acts of God, strikes, war, accidents, or other circumstances beyond Publisher’s control.
AD SPECIFICATIONS 11. Indemnification of Publisher: In consideration of publication of an advertisement, the advertiser and the agency, jointly and separately, will indemnify, defend, and hold harmless the magazine, its officers, agents, and employees against expenses (including legal fees) and losses resulting from the publication of the contents of the advertisement, including without limitation, claims or suits for libel, violation of right of privacy, copyright infringements, or plagiarism. 12. Competitor Information: SPINE SURGERY TODAY does not accept advertisements that contain competitor(s’) names, publication covers, logos or other content. 13. Advertorials: In order to be considered for acceptance, advertisements or inserts which contain text or copy describing a product or surgical technique, must be substantially different in text and font of the receiving publication and the word “ADVERTORIAL” or “ADVERTISEMENT” will be prominently displayed in 10 point black type in ALL CAPS at the top of the ad. 14. Billing Policy: Billing to the advertising agency is based on acceptance by the advertiser of “dual responsibility” for payment if the agency does not remit within 90 days. The Publisher will not be bound by any conditions, printed or otherwise, appearing on any insertion order or contract when they conflict with the terms and conditions of this rate card.
1.
Available Advertising Unit Sizes:
Ad sizes:
Non-bleed (Live area) sizes: Width
King Spread King Page ¾ Page (Vertical) ¾ Page (Horizontal) Island ½ Page Island Spread ½ Page (Vertical) ½ Page (Horizontal) 1⁄3 Page ¼ Page (Vertical Block) ¼ Page (Horizontal Block) ¼ Page (Vertical Strip) ¼ Page (Horizontal Strip) 1⁄8 Page (Vertical Block) 1⁄8 Page (Horizontal Block)
20.5" 10" 7.05" 10" 7.13" 14.6" 4.68" 10" 4.68" 4.68" 7.13" 2.23" 10" 2.23" 4.68"
x x x x x x x x x x x x x x x
Trim sizes:
Height
Width
13.5" 13.5" 13.5" 10" 10" 10" 13.5" 6.5" 10" 6.25" 4.75" 13.5" 3" 6.25" 2.84"
21" 10.5" 7.55" 10.5" 7.63" 15.1" 5.18" 10.5" 5.18" 5.18" 7.63" 2.73" 10.5" 2.73" 5.18"
Height
x x x x x x x x x x x x x x x
14" 14" 14" 10.5" 10.5" 10.5" 14" 7.0" 10.5" 6.75" 5.25" 14" 3.5" 6.75" 3.34"
a) Trim size of journal: 10.5" x 14" b) To view thumbnails of ads specs, visit healio.com/slackadspecs. For spread ads, keep content (images/text) ¼" in on each side of the gutter. For bleed ads, add 1⁄8" on all sides of trim size.
2. Paper Stock: a) Inside pages: 40# coated b) Covers: 70# coated 3. Type of Binding: Saddle-stitch or Perfect bound 4. Ad Requirements: For specifications, go to: healio.com/slackadspecs Color Proofs: One proof made from supplied files and meeting SWOP specifications must be provided with data file. Proof must be at 100% of the print size. Publisher accepts Kodak approvals, Matchprints, Chromalins, Highend Epson Quality or Iris Digital Proofs.
If only color lasers are furnished, color match on press cannot be guaranteed. Note: Spread ads should be sent as a one-page file. Media: CDs and DVDs. Ads will not be accepted via email. Ftp site available. 5. Disposition of Ad Material: Ad material will be held one year from date of last insertion and then destroyed unless notified otherwise in writing.
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Effective Rate Date: January 2014 for all advertisers.
INSERT INFORMATION 1.
Availability and Acceptance: a) Availability: Two- to eight-page inserts are available full run. Demographic and/or geographic inserts are also available. b) Acceptance: A paper sample of the insert must be submitted to the Publisher for approval. 2. Insert Charges: a) Furnished inserts: Billed at black-and-white space rate at frequency earned on a page-for-page basis, plus a $395 non-commisionable tip-in fee. b) A-size inserts: Charged at the island/half page rate. c) Tabloid-size inserts: Charged at the king page rate. 3. Sizes and Specifications:
No. of Pages
Max Micrometer Reading
Paper Stock Max Min
2 page (one leaf)
80# coated
70# coated
.004"
4, 6, 8 page
70# coated
60# coated
.004"
4. Trimming: Trimming of oversized inserts will be charged at cost. Keep live matter 1/2” from trim edges and 3/16” from gutter trim. Inserts are jogged to foot. Trims 1/8” from head, face and foot. 5. BRCs: a) Pricing: Charge is $395 when accompanied by a minimum of an island/half page advertisement. Non-Commissionable. b) BRC Specifications: 3 ½” x 5” minimum to 4 ¼” x 6” maximum; perforated with ½” lip (from perforation) for binding. Add 1⁄8” for foot trim. Cardstock minimum: 75# bulk or higher. 6. Quantity: 10,000 (estimated). Exact quantity will be given upon Publisher’s approval of insert (or call Publisher prior to closing date). 7. Shipping: Inserts must be shipped in cartons and have publication name, issue date, and insert quantity clearly marked. Inserts shipped in e-containers cannot be verified and SLACK will not be responsible for shortages on press.
CONTACT INFORMATION Insertion Orders Send product insertion orders and ad materials to: Denise Ulrich Sales Administrator SPINE SURGERY TODAY c/o SLACK Incorporated 6900 Grove Road Thorofare, NJ 08086-9447 856-848-1000 x475 Fax: 856-848-6091
[email protected] Send inserts to: Mark Henson SPINE SURGERY TODAY Publishers Press 100 Frank E. Simon Ave. Shepherdsville, KY 40165
a) Full-size inserts: Supplied untrimmed, printed, folded (except single leaf), and ready for binding. Varnished inserts are acceptable at the Publisher’s discretion. b) A -size inserts: Supply size 8 1⁄8” x 11” pre-trimmed on head and face. 1⁄8” foot trim.
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