Spinal Surgical Indication: Surgeon Benefit versus Patient Benefit?
Journal Title: Journal of Orthopaedic Science and Research - Year 2021, Vol 2, Issue 1
Abstract
In the world of surgery, spinal surgery is one of the topics that their surgical indications largely depend on the patient's clinical symptoms and physical examination, while the para-clinics have only auxiliary or confirmatory roles. For instance, lumbosacral magnetic resonance imaging in asymptomatic population has a 30-35% incidental finding that is not necessarily associated with clinical complaints. These incidental findings include vertebral hemangioma, degenerative disc, transitional vertebra, thickened filum terminal, synovial cyst of the facet joint, or even spondylolysis or spondylolisthesis. None of these findings require treatment when they are not accompanied by clinical symptoms, but only the physician knows this principle, not the patient. On the other hand, inventing new attractive and minimally invasive techniques in the field of spine surgery, has led to the over-popularity of these surgeries. Because the greater the number and complexity of surgeries, the greater the surgeon's benefit, these factors have cumulatively led to the over-prevalence of spinal surgeries, especially in the lumbar region. In this turmoil and mess bazar, real surgical indications which is the most important and vital parts of medicine, has faded or may have been deliberately forgotten.
Authors and Affiliations
Farzad Omidi-Kashani
Keywords
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- EP ID EP698813
- DOI http://dx.doi.org/10.46889/JOSR.2021.2103
- Views 94
- Downloads 0
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