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Table 2 Changes of treatment strategy after inpatient gradual diagnostics (IGD)

From: Inpatient gradual diagnostics and its relevance for determining treatment strategies in lumbar back pain

Treatment strategy Number of cases/ Total cases Percentage
Strategy changed through IGD 45/116 39
Strategy unaltered after IGD 71/116 61
No surgery indicated before IGD 33/116 28
Surgery indicated before IGD 83/116 72
Indication for conservative approach confirmed by IGD 25/33 76
Surgery indicated by IGDa 8/33 24
Indication for surgery confirmed by IGD 65/83 78
Indication for surgery refused by IGDb 18/83 22
Scope of initially suggested surgical procedure extended by IGD (without cases with no indication for surgery before IGD)c 17/65 26
Scope of indicated surgical procedure reduced by IGD (without cases with no indication for surgery after IGD)d 2/65 3
  1. aThree two-segment fusions, three one-segment fusions, two one-segment decompressions
  2. bIn two cases, indication for total hip arthroplasty
  3. cExtension of surgical approach: one segment cranially (n = 6), one segment caudally (n = 4), one segment cranially and one caudally (n = 1), change of decompression to fusion surgery (n = 5), monosegmental lumbar fusion in addition to removal of sacroiliac joint screws (n = 1)
  4. dChange of fusion surgery to decompression (n = 1), reduction of fusion scope by two segments (n = 1)