ArticleSurgical neurology international2012
The value of "another" opinion for spinal surgery: A prospective 14-month study of one surgeon's experience.
Article in Surgical neurology international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- [Second opinion on spine surgery : Indication rarely confirmed and conservative treatment options are worthwhile].Schmerz (Berlin, Germany) · 2023Article
- Second opinions for spinal surgery: a scoping review.BMC health services research · 2022Article
- Second opinion in spine surgery: A scoping review.Surgical neurology international · 2021Article
- COVID-19 Provides An Opportunity to Reassess How Frequent and How Extensive Elective Spine Surgery Should Be.Surgical neurology international · 2020Article
- The market landscape of online second opinion services for spine surgery.Surgical neurology international · 2020Article
- Second opinion for degenerative spinal conditions: an option or a necessity? A prospective observational study.BMC musculoskeletal disorders · 2017Observational
- Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series.Journal of chiropractic medicine · 2016Article
- Second opinion in spine surgery: a Brazilian perspective.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2015Article
- The death of spine surgery, sequel - 2014.Surgical neurology international · 2014Article
- Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions.Clinical ophthalmology (Auckland, N.Z.) · 2013Article
- Are recommended spine operations either unnecessary or too complex? Evidence from second opinions.Surgical neurology international · 2013Article
- Complications due to the use of BMP/INFUSE in spine surgery: The evidence continues to mount.Surgical neurology international · 2013Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeck or back problems are experienced at some time by many Americans and many patients receive recommendations for spinal surgery. Patients naturally seek another opinion to confirm the need for surgery, or for the particular procedure recommended.
methodsOver approximately a 14-month period, the author prospectively collected data regarding 240 consecutive patients seeking a surgical opinion regarding a spine problem. Imaging studies were reviewed and patients were asked to comment on the consultation experience.
resultsOf the 240 patients, 155 (65%) came for a second, third, or fourth surgical opinion following an earlier opinion from a surgeon who recommended an operation. Of these patients, the author recommended no surgery for 69 (44.5%) patients. The remaining 85 (35%) were referred by primary care doctors or neurologists for initial surgical (first) opinions because of magnetic resonance imaging (MRI) or computed tomography (CT) reports indicating the presence of surgical lesions. The author recommended no surgery for 37 (43%) of these 85 patients.
conclusionsPatients request and deserve the attention of a physician who will listen to their history and perform a careful neurological examination. The results of the neurological examination and the imaging studies must then be carefully integrated and correlated with the patient's complaints. The results should be explained to the patient so that he or she will understand the surgical or non surgical nature of his or her problem.
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