Unnecessary Spinal Surgery ? (The truth about spine surgery, with references.)

In this educational video, Peter Guske PT presents information geared toward the layperson on the surgical metallic implant/instrumentation industry and their influence on the orthopedic/neuro/spinal surgical industry and explains, in plain language, the results of research studies on patient satisfaction levels of different surgical procedures, with a focus on instrumented spinal fusion surgery, from a patient-centric perspective with outcomes information and comparisons of primarily instrumented spinal fusion to other treatments. Both hospital and the physical therapy industry involvement is included. He concludes with his summary of published spinal surgeon’s responses and then some suggestions for improvement in patient care related to these issues.

Peter Guske PT, is a licensed physical therapist with 30 years of clinical experience. His company The Back Saver System utilizes a unique approach whereby his is the only on -site, corporate training program in the nation which actually demonstrates to attendees how they themselves can put their own back, ”back in”. The Back Saver System provides employers in a wide array of industries nationwide with a real return-on-investment with low-cost, tightly-packed, systematic, highly effective, rational, no-nonsense training to objectively reduce the costs associated with the 3 most expensive issues in all of healthcare: Spinal Injuries/Pain, Fatigue/Diabetes and Ischemic Heart Disease. Forget the “fluff”. This new, innovative, training program gives your employees real, hard-edged, immediately usable results. See more at www.medicalarts4u.com
For more free, no-nonsense, no registration required , no sign-in required, no membership required, rational, sound information on how to reduce spinal pain and other instructional videos including self-mobilization/exercise demonstrations see www.medicalarts4u.com

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References:
Weiner, Joseph A., et al. “Factors Associated With Financial Relationships Between Spine Surgeons and Industry.” Spine, vol. 42, no. 18, 2017, pp. 1412–1418., doi:10.1097/brs.0000000000002121.
Deyo, Richard A. “Fusion Surgery for Lumbar Degenerative Disc Disease: Still More Questions than Answers.” The Spine Journal, vol. 15, no. 2, 2015, pp. 272–274., doi:10.1016/j.spinee.2014.11.004.
Sarmiento, Augusto. “What’s Important.” The Journal of Bone and Joint Surgery, vol. 98, no. 21, 2016, pp. 1854–1855., doi:10.2106/jbjs.16.01091.
Reis, R C, et al. “Risk of Complications in Spine Surgery: a Prospective Study.” The Open Orthopaedics Journal., U.S. National Library of Medicine, 31 Jan. 2015, www.ncbi.nlm.nih.gov/pubmed/25674185
Whoriskey, Peter “Spinal fusions serve as a case study for debate over when certain surgeries are necessary” Washington Post October 27 2013
Forsth, P., et al. “Does Fusion Improve the Outcome after Decompressive Surgery for Lumbar Spinal Stenosis?: A Two-Year Follow-up Study Involving 5390 Patients.” The Bone & Joint Journal, 95-B, no. 7, 2013, pp. 960–965., doi:10.1302/0301-620x.95b7.30776.
Epstein, N. “A Review: Reduced Reoperation Rate for Multilevel Lumbar Laminectomies with Noninstrumented versus Instrumented Fusions.” Surgical Neurology International, vol. 7, no. 14, 2016, p. 337., doi:10.4103/2152-7806.182546.
Covaro, Augusto, et al. “Management of Degenerative Lumbar Spinal Stenosis: an Evidence-Based Review.” EFORT Open Reviews, EFORT Open Reviews, 1 July 2016, www.efortopenreviews.org/content/1/7/267
Centeno, Chris. “Spine Fusion-o-Mania: Is There a Low Back Surgery Success Rate Anymore?” 28 Apr. 2016, www.regenexx.com/low-back-surgery-success-rate/
Herno, A., et al. “Lumbar Spinal Stenosis: a Matched-Pair Study of Operated and Non-Operated Patients.” British Journal of Neurosurgery, vol. 10, no. 5, 1996, pp. 461–466., doi:10.1080/02688699647087.
Ferreira, Manuela L., and Katie De Luca. “Spinal Pain and Its Impact on Older People.” Best Practice & Research Clinical Rheumatology, vol. 31, no. 2, 2017, pp. 192–202., doi:10.1016/j.berh.2017.08.006.
Ausman, James I. “I Told You It Was Going to Happen.” Surgical Neurology, vol. 61, no. 4, 2004, pp. 313–314., doi:10.1016/j.surneu.2004.01.002.
Ausman, James I. “I Told You It Was Going to Happen Part III.” Surgical Neurology, vol. 66, no. 2, 2006, pp. 222–224., doi:10.1016/j.surneu.2006.05.046.
Ausman, James I. “I Told You It Was Going to Happen Part II.” Surgical Neurology, vol. 65, no. 5, 2006, pp. 520–521., doi:10.1016/j.surneu.2006.02.029.
Abelson, Reed “An Operation to Ease Back Pain Bolsters the Bottom Line, Too” The New York Times Dec 31 2003
Dana, Jason. “A Social Science Perspective on Gifts to Physicians From Industry.” Jama, vol. 290, no. 2, 2003, p. 252., doi:10.1001/jama.290.2.252.

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