2001 Curve/Countercurve Survey Results
| Long-term Opioid Therapy |
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Vertebroplasty vs Kyphoplasty |
| Web survey results for: Fardon D, Schofferman J. Long-term opioid therapy. SpineLine. 2001;2(January-February):12-15. |
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Web survey results for: Jensen ME, Garfin SR, Fardon D. Vertebroplasty vs kyphoplasty. SpineLine. 2001;2(March-April):11-14. |
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1. What would you do?
a. endorse the plan to try opioid
b. encourage further exploration of the idea of surgical treatment
c. Tell him to be patient and keep trying with nonopioid and noninvasive treatments
...results to come
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1. For this patient, I would perform or refer to have performed:
a. vertebroplasty
b. kyphoplasty
c. physical therapy and pharmacologic management without either -plasty
d. benign neglect
e. other
...results to come |
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| Cervical Disc Herniation |
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School Screening for Scoliosis |
| Web survey results for:Hilibrand AS, Foley KT, Fardon D. Cervical disc herniation. SpineLine. 2001;2(May-June):13-15. |
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Web survey results for: Lonstein JE, Weinstein SL, Fardon D. School screening for scoliosis. SpineLine. 2001;2(July-August):11-13. |
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1. As a surgeon, I would treat this man by:
a. posterior foramenotomy and fragment extraction
b. anterior discectomy without fusion
c. anterior discectomy and fusion without instrumentation
d. anterior discectomy and fusion with instrumentation
e. other
...results to come
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1. What would you do?
67% would encourage the establishment of a scoliosis screening program in any school that is willing to accept it.
0 think scoliosis screening no longer has sufficient value to recommend it and would advise that the resources could be better spent on some other worthy medical cause.
33% think that some, but not all, communities need scoliosis screening in the schools and that such programs should be provided selectively.
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2. As a nonsurgeon, I would:
a. refer this man to a surgeon who would treat him posteriorly
b. refer this man to a surgeon who would treat him anteriorly
c. advise him not to have surgery
...results to come |
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Whiplash
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Importance of Psychological Evaluation before Fusion Surgery |
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Web survey results for: Seroussi RE, Ferrari R, Schofferman J. Whiplash. SpineLine. 2001;2(September-October):12-19.
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Web survey results for: Bolesta MJ, Gill K, Polatin PB, Gatchel RJ. When a fusion is deemed necessary, how important is careful psychological evaluation? SpineLine. 2001;2(November-December):12-16. |
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1. As a treating physician, what would you do?
33% complete the evaluation with medial branch blocks only
0 get a psychological consultation only
42% get both a psychological consultation and perform medial branch blocks
25% suggest she settle her case, continue to exercise and get on with her life
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1. Which approach are you most comfortable with for this patient?
33% always request a formal psychological evaluation prior to fusion surgery
27% request a formal psychological evaluation prior to multilevel fusion surgery
33% never request a formal psychological evaluation but rely on clinical assessment prior to any fusion surgery
7% do not consider psychological status when deciding to perform a spinal fusion |
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