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In this episode of the Trustcast Show, host Zane Myers sits down with Dr. Rohan Lall, MD, a neurosurgeon at M Health Fairview in Minneapolis and Chief Medical Officer of SynerFuse. Dr. Lall co-invented the world's first E-TLIF procedure—a groundbreaking surgery that combines spinal fusion with direct nerve stimulation to treat chronic back pain without long-term opioid use. What You'll Learn: Why traditional spine surgeries have high failure rates compared to other orthopedic procedures How the E-TLIF (Electric Transforaminal Lumbar Interbody Fusion) procedure works The technology behind implantable nerve stimulators controlled by smartphone Why Dr. Lall chose the grueling path of neurosurgery training (7 years of residency!) Early clinical trial results showing dramatic reductions in pain and opioid use The future of spinal surgery innovation, including applications for cervical spine How the device's battery can potentially last over 100 years using ultra-low frequency stimulation About Dr. Rohan Lall: Dr. Lall is a board-certified neurosurgeon specializing in robotic and minimally invasive spine surgery, complex spinal surgery, brain and spinal tumors, and skull base surgery. He performed the world's first solo E-TLIF procedure and is leading SynerFuse's national clinical trials across 15-20 hospitals. He graduated from the University of Chicago Pritzker School of Medicine and completed his neurosurgery residency at Northwestern University. Connect with SynerFuse: Website: https://www.synerfuse.com Chapters: 00:00 - Introduction 00:55 - The Limits of Current Spine Surgery 01:29 - Why Neurosurgery? The Personality of Surgeons 03:43 - The Hardest Parts of Neurosurgery Residency 05:09 - Why Do So Many Back Surgeries Fail? 08:02 - Introducing the E-TLIF Procedure 09:35 - How the Technology Actually Works 12:30 - The Implanted Battery and Power System 14:45 - National Clinical Trial Expansion 16:07 - Training Surgeons on the New Technique 19:54 - Early Results from Clinical Trials 21:13 - The Frustration of Double-Blind Studies 22:17 - Combining Existing Technologies in a New Way 24:11 - Manufacturing Partnership with Valentium 25:06 - Timeline to Market Availability 26:02 - How to Get Involved or Learn More 26:37 - Future Innovations Beyond E-TLIF #SpineSurgery #Neurosurgery #ChronicPain #MedicalInnovation #ETLIFProcedure #SynerFuse #TrustcastShow #PainManagement #FDA #ClinicalTrial