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The issue of unnecessary (spine) operations is a difficult but significant topic. I have seen many patients who have been operated on for spine disease when there are no neurological deficits and where the diagnosis of “instability” is based on very slim evidence.
I was taught, for example, that in order to justify surgery for a herniated (lumbar) disc, one had to have documented neurological deficit and symptoms which have not been responsive to good non-surgical treatment.
What do the blogmembers consider a reasonable set of justifications for disc removal for herniation; for associated fusion?
February 24, 2008 at 12:37 pm
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March 11, 2008 at 11:34 pm
The issue of unnecessary (spine) operations is a difficult but significant topic. I have seen many patients who have been operated on for spine disease when there are no neurological deficits and where the diagnosis of “instability” is based on very slim evidence.
I was taught, for example, that in order to justify surgery for a herniated (lumbar) disc, one had to have documented neurological deficit and symptoms which have not been responsive to good non-surgical treatment.
What do the blogmembers consider a reasonable set of justifications for disc removal for herniation; for associated fusion?
Regards,
Bob Fink
Berkeley, California USA
March 12, 2008 at 8:55 am
Congratulation ,it is good effort need of the time.keep it up.I will keep in touch.