The landscape of medical technology development has evolved from a very conservative base.
In spine innovation history, the story is often told of the difficulties and initial industry
rejections such as with Harrington rod, and pedicle screw development. Dr. Arthur Steffee had to
start his own company as existing companies were not interested. The present companies involved in
sale and manufacturing of spine implants have been strongly involved as drivers and determinants of
new technology development. Surgeons and caregivers would collaborate with companies to improve
their patients' care. The adoption of a project was typically based on industry needs as well as
industry selected consensus leader input. The rules of development have changed. Physician input is
now more critical to innovation development than ever before. Collaboration of caregivers in a
democratic manner to benefit our patients is needed. This paradigm shift in development allows those
direct caregivers in the trenches to huddle together and develop the newest and best technologies by
involving peer input. Working together on the future of spinal health through innovation is the goal.