Excessive Spine Surgery

Heading the class in “Avoidable” is multi-level spinal fusion as a primary treatment for low back pain in patients with degenerative disc disease.  Despite the many disclosures over the past few years in the press and medical journals regarding this important issue the surgeons participating in such excessive surgery have not yet been held accountable for their action, which thereby continues unchecked.  Given the fact that poor behavior does not change unless there are significant consequences for it I would be most appreciative if this conference would spend some time discussing the issue of developing appropriate consequences and even more appropriately, effective behavior modifiers which would also make sense. 

C. Burton

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