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Table 1 Comparison of the diagnoses made by the community spinal surgeons compared with the HIAE physiatrist and orthopaedic surgeon, agreement shown in bold (N = 485)

From: Second opinion for degenerative spinal conditions: an option or a necessity? A prospective observational study

Diagnosis of the community spinal surgeon
Diagnosis of the HIAE physiatrist and orthopaedic surgeon Cervical radiculopathya Cervical myelopathy Neck painb Lumbar radiculopathyc Lumbar canal stenosis Low back paind Failed spine surgerye Not reported Total
Cervical radiculopathya 36   2 1      39
Cervical radiculopathy, different level 8         8
Cervical myelopathy   2        2
Neck painb 14   4       18
Lumbar radiculopathyc     116   2    118
Lumbar radiculopathy, different level     18      18
Lumbar canal stenosis     1 7     8
Low back paind     75 4 66 7 1 153
Thoracic pain    1 2      3
Coccyx pain     1      1
Failed spine surgerye        26   26
Failed spine surgery, different level    1   1 2    4
Non-spinal conditionf 41   9 20   13 4   87
Total 99 2 17 234 12 83 37 1 485
  1. aIncludes cervical disc herniation and cervical discopathy; bIncludes cervical zygapophyseal pain, cervical osteoarthritis, cervical spondylosis and mechanical neck pain; cIncludes lumbar disc herniation and lumbar discopathy; dIncludes lumbar zygapophyseal pain, lumbar osteoarthritis, lumbar spondylosis’, ‘mechanical low back pain’, ‘lumbar instability’, ‘spondylodisciitis’ and ‘spondylolisthesis’; eIncludes all procedures that need another surgical intervention (failed back, mechanical implant failure of lumbar fusion, non-union of cervical fusion, non-union of lumbar fusion, complication of disc arthroplasty, complication of intraspinous spacer)
  2. fFirst opinion of cervical radiculopathy was diagnosed by the second opinion as myofascial pain syndrome (N = 27), carpal tunnel syndrome (N = 5) shoulder impingement (N = 3), headache (N = 2), calcific tendinitis (N = 1), dizziness (N = 1), diabetic polyneuropathy N = 1) and cubital tunnel syndrome (N = 1); first opinion of neck pain was diagnosed by the second opinion as myofascial syndrome (N = 8) and shoulder impingement (N = 1); first opinion of lumbar radiculopathy was diagnosed by the second opinion as myofascial syndrome (N = 14), peripheral neuropathy (N = 1), medication induced polyneuropathy (N = 1), post-polio syndrome (N = 1), trochanteric bursitis (N = 1), meralgia paraesthetica (N = 1) and rheumatoid arthritis (N = 1); first opinion of lumbar instability was diagnosed by the second opinion as myofascial syndrome (N = 1); first opinion of low back pain was diagnosed by the second opinion as myofascial syndrome (N = 7), trochanteric bursitis (N = 2), vascular claudication (N = 1), sacroiliitis (N = 1) and rheumatoid arthritis (N = 1); and first opinion of failed spine surgery was diagnosed by the second opinion as myofascial syndrome (N = 2). Osteoarthritis hip (N = 1) and reflex sympathetic dystrophy (N = 1)