Rethinking the Standard: One Spine Surgeon’s Move Toward Motion Preservation, Kevin Rutz, MD

In this episode of The Spine Pod, hosts Courtney Schutze and Brady Riesgraf sit down with Dr. Kevin Rutz, an orthopedic spine surgeon based in St. Louis who brings over two decades of experience in spine care, including nearly 2,000 disc replacement procedures. With this breadth of experience in motion preservation, Dr. Rutz shares his insights and knowledge on the best applications for when to use motion preserving surgeries for the best possible patient outcomes.

Dr. Rutz isn’t just a surgeon who treats spine conditions; he’s experienced one himself. After he experienced pain and numbness radiating down his arm and into his hand, he decided on treatment and opted to undergo a cervical disc replacement for his own care. With this experience, he brings both surgical expertise and firsthand patient insight to his approach. That dual perspective has shaped his belief in motion preservation as a critical tool for helping patients maintain function and quality of life.

Throughout the conversation, Dr. Rutz shares how his own recovery journey influenced the way he talks with patients, evaluates treatment plans, and helps people avoid unnecessary fusions when possible. He also dives into the practical realities of building and running a high-volume, patient-centered practice; the role of mentorship in shaping surgical philosophy; and how collaboration with industry partners continues to drive innovation in spine care.

In this episode, you’ll learn:

• How motion preservation became a cornerstone of Dr. Rutz’s care philosophy, and when it should be considered over fusion.
• The differences in cervical disc replacement (ACDA) and cervical fusion (ACDF) and the right circumstances to choose each respective treatment.
• Why surgeon-industry collaboration is essential for developing new technologies and treatment pathways.
• The importance of training and mentorship for upcoming surgeons to learn how to safely and effectively provide the highest possible level of care.
• What technologies Dr. Rutz is most excited about in the rapidly evolving landscape of spine surgery.
• How Dr. Rutz’s experience as a spine patient influenced his surgical approach and patient care.

As a spine surgeon who began his career primarily in fusion techniques and later switched to become a motion-preserving provider, Dr. Rutz is able to share a unique perspective on how our spine care has evolved and improved over time. Whether you're a provider, industry professional, or patient seeking deeper understanding, this episode offers a thoughtful look at what it really means to prioritize motion in modern spine surgery.

Learn more about Dr. Rutz and his practice Orthopedic Specialists:

• Orthopedic Specialists: https://stlorthospecialists.com/

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The information in this podcast is for educational and informational purposes only and is not intended as medical advice. It does not replace consultation with a qualified healthcare professional. Always seek the advice of your physician or another qualified healthcare provider regarding any medical condition or treatment.