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Table 2 Comparison of the recommended treatment of the community spinal surgeons compared with the HIAE physiatrist and orthopaedic surgeon and/or spinal review board, agreement shown in bold (N = 485)

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

Recommended treatment of the community spinal surgeon

Recommended treatment of the HIAE physiatrist and orthopaedic surgeon and/or spine review board

Cervical arthrodesis

Cervical disc arthroplasty (1 level)

Cervical disc arthroplasty (2 levels)

Lumbar arthrodesis

Cervical or lumbar decompression

Endoscopic lumbar decompression

Percutaneous decompression

Percutaneous decompression +rhyzotomy

Radiofrequency rhyzotomy

Hardware removal

Interlaminar- interspinous distraction stabilisation

Neuro-stimulator electrode

Nucleoplasty

Revision with arthrodesis (cervical)

Revision with arthrodesis (lumbar)

Local glucocorticoid and local anaesthetic injectiona

Discography

Not reported

Total

Refused spine review board attendance

8

1

 

34

1

 

2

 

3

1

   

1

8

 

1

 

60

Cervical arthrodesis

11

     

1

 

1

 

1

       

14

Cervical arthrodesis, different level

6

                 

6

Cervical disc arthroplasty

                  

0

Cervical disc arthroplasty (2 levels)

                  

0

Lumbar arthrodesis

   

25

1

     

1

       

27

Lumbar arthrodesis, different level

   

11

              

11

Decompression

5

  

30

7

 

2

 

1

 

2

      

1

48

Percutaneous decompression with rhyzotomy

                  

0

Radiofrequency rhyzotomy

        

8

         

8

Hardware removal

         

1

        

1

Neuro-stimulator electrode

           

2

      

2

Revision with arthrodesis (Cervical)

        

1

         

1

Revision with arthrodesis (Lumbar)

        

2

     

14

   

16

Coccyx resection

   

1

              

1

Local glucocorticoid and local anaesthetic injectiona

   

4

    

4

         

8

Conservative treatment

35

3

2

86

16

1

14

1

56

 

4

1

4

 

6

5

 

1

235

Non-spine condition

14

1

1

5

4

 

3

 

13

   

1

1

2

1

1

 

47

Total

79

5

3

196

29

1

22

1

89

2

8

3

5

2

30

6

2

2

485

  1. aConsidered ‘surgery’ because procedure performed under anaesthesia in the operating room
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BMC Musculoskeletal Disorders

ISSN: 1471-2474

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