The decision to participate in Standard and Vanguard will vary by the technology and staff available at the site. The key difference is that the Vanguard option requires additional data elements and expanded follow-up with the collection of patient-reported outcome measures (PROMs). Standard and Vanguard levels are designated by what data elements a site submits. Sites do not need to designate their participation at the time they sign and a site can change status at any time they desire.

Below is an overview of American Spine Registry (ASR) data elements with the elements that differ for Vanguard sites indicated. Please note that this list is a summary and not comprehensive.

ASR Data Elements

American Spine Registry Data Elements


Learn more about ASR participation at our Frequently Asked Questions page.