Practice · Spine Surgery

Convert chronic back pain into scheduled spine surgery — ethically.

We engineer the long-cycle funnel from sciatica search intent to imaging review to operative decision — measured in scheduled discectomies, fusions and deformity corrections.

For Chiefs of Spine, Spine Program Directors and MDs of dedicated spine centres and spine units within neuro/ortho super-specialties.

Request a Spine Pipeline Blueprint →Review case evidence

MIS Case Mix

68%

of total spine cases post-engagement

MRI-to-Consult SLA

< 24 hrs

median across catchment

Conservative → Surgery

31%

qualified conversion, 6-mo cohort

OT Utilization

84%

spine block utilisation

Procedure-level demand engineering

We target the procedures that move your P&L, not the ones that fill the OPD queue.

CATCHMENT TIER · PRICE RESTATEMENT

ARPU differs materially between Metro, Tier-2 and Tier-3 catchments. Switch tier to restate every procedure band against the payer mix and package ceilings we observe in that market — not a single all-India number.

Viewing Metro / Tier-1 · Representative catchments: Delhi NCR, Mumbai, Bengaluru, Chennai, Hyderabad, Kolkata, Pune.

Endoscopic Discectomy

₹1.6 L–3.2 L

Sciatica → day-care surgical funnel

MIS TLIF / PLIF Fusion

₹2.8 L–5.5 L

Failed-conservative-care pathway

Cervical Disc Replacement

₹3.2 L–5.8 L

Motion-preservation second-opinion

Deformity Correction (AIS/Adult)

₹5.5 L–14 L

Long-cycle referral & imaging review

Kyphoplasty / Vertebroplasty

₹1.4 L–2.4 L

Osteoporotic fracture rapid-intake

Complex Revision Spine

₹6.0 L–12 L

Tertiary second-opinion funnel

Methodology. Base bands reflect RDV's engagement dataset across 47 super-specialty hospitals, reconciled against CGHS/ECHS package rates, state-scheme ceilings (Ayushman Bharat PM-JAY, CMCHIS, YSR Aarogyasri) and empanelled TPA grids. Tier multipliers applied: Metro 1.00× · Tier-2 0.72× · Tier-3 0.55×. Actuals swing with payer mix, consultant-fee split and implant/consumable choice — the written Blueprint restates every band against your own HIS billing history before any spend is committed.

Clinical referral pathway

Intent → triage → consult → admission. Instrumented at every gate.

01 · Intent capture
Symptom, condition and referrer-based intent capture across catchment.
02 · Clinical triage
Specialty-trained nurse/coordinator triage with report upload before consult.
03 · Consultant handoff
Calendar-synced booking to the operating consultant with pre-read notes.
04 · Admission & OT slotting
CRM ↔ HIS tag: admission source, procedure code, OT date.

Case snapshot

3.1× MIS case volume, 84% OT utilisation.

A representative RDV engagement in the Spine Surgery practice line. Individual results vary by catchment, clinical capacity and payer mix.

Setting: Dedicated spine centre, 90 beds, Tier-1 metro
Duration: 8 months
Cohort: n = 1,120 MRI-uploaded enquiries
Outcome: 3.1× MIS case volume, 84% OT utilisation

Figures engagement-verified against hospital HIS. No outcome guarantees implied; per NMC advertising guidelines.

Why Chiefs of Spine choose RDV

Trust is earned in the operating logic, not the pitch deck.

MRI-first triage

No consult until imaging is on file. Your surgeon sees pre-read cases, not undifferentiated back-pain leads.

Conservative-care respect

Every enquiry is scored for surgical necessity. Non-surgical candidates are educated, not pushed — protecting your OT ethics.

Motion-preservation logic

Cervical disc replacement funnels built around clinical indication, never device brand.

Day-care endoscopic focus

Endoscopic discectomy positioned as low-friction entry procedure — highest patient-referral generator in the practice.

From an engagement

"The MRI-upload gate changed everything. We stopped seeing back-pain tourists and started operating on the right patients."

— Chief of Spine Surgery · 90-bed dedicated spine centre

Attribution anonymised per client confidentiality; engagement code verifiable in the founder-led review.

Talk directly to the founding partner who ran this engagement.

Request a Spine Blueprint →

48-hour founder-led review. Fixed-scope. No lock-in.

Clinical authority

Content your clinicians will co-sign.

Spine surgeon-led MRI-read explainer library
Motion-preservation vs fusion decision framework (published)
Rehabilitation & return-to-work outcome pathway

Compliance posture

Every asset, every claim, medically reviewed.

NMC advertising norms — no comparative technique claims
Imaging-upload consent flow (DPDP Act 2023 aligned)
Device-neutral messaging on cages, screws and disc implants

Catchment note: Chronic-pain catchment engineering across Tier-1 metros and Tier-2 industrial belts; international patient corridors for deformity correction.

The 21-day diagnostic

What the fixed-scope engagement actually contains — for Spine.

No mystery, no scope creep. Each week is instrumented and delivered against a checklist your MD and Chief signs.

Week 1
Spine OT block audit; imaging-to-consult SLA teardown.
Week 2
Chronic-pain catchment mapping; physio & GP referrer network audit.
Week 3
Procedure-mix unit economics and MIS conversion ceiling.
Week 4
Founder-led blueprint with Chief of Spine and OT Manager.

Where we compound

The unfair edge — for Spine specifically.

MRI-upload triage baked into intake — rare outside academic centres
Conservative-care scoring model prevents inappropriate surgical push
Deformity-correction international corridor (GCC + East Africa) already live

Practice guarantees

What we commit to in writing.

Fixed-scope diagnostic — no retainer, no annual lock-in
HIS-verified attribution — every claimed admission traceable to source
No media markup — you see raw platform invoices at cost
Founder-led — the partner who scopes the engagement does the work

Objections we hear

The three questions MDs ask before signing.

We keep our answers on the record. If yours isn't here, ask it in the qualification form — the founding partner replies personally within 48 hours.

Spine has a public-trust problem — patients think we over-operate.

Exactly why our triage rejects non-surgical candidates upfront. Publishing your conservative-care rate builds more trust than any testimonial.

Our surgeons won't accept MRI-review as a pre-consult step.

It's not review — it's routing. Coordinators tag pathology; the surgeon still owns the clinical decision but starts 20 minutes ahead per case.

We already run digital campaigns for spine.

Then compare CPL-to-scheduled-surgery ratio against ours for one quarter. Attribution to HIS decides.

FAQ

The questions Chiefs of Spine ask us first.

If yours isn't here, put it in the qualification form — our founding partner will answer it in the 48-hour review.

How do you ethically convert chronic back pain to surgery?+

By gating intake on MRI upload and physio history, then routing only surgical candidates to consult. Non-surgical patients receive an education pathway, protecting clinical integrity.

Can you build deformity-correction volume internationally?+

Yes — deformity correction is the highest-yield international corridor in spine. We run country-specific programmes with imaging pre-review and financial pre-authorisation.

How long to ramp MIS case mix?+

6–9 months to a majority-MIS case book, contingent on surgeon capability. We do not push technique change — we build demand for what your team already does well.

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