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NY Times Article 12/31/03

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Happy New Year Fellow Scolies. I'm fairly new to this group so I

hope this is O.K. to post. I was just wondering if any of you have

read the article on the front page of the NY Times this past

Wednesday about spinal fusions. I am not sure that it applies to

us, but still...Basically, the article said that a quarter million

spinal fusions were done last year and that there is little evidence

that in most of those cases, that a spinal fusion was more effective

than a less invasive laminectomy would have been. However, Medicare

pays four times as much for a fusion than a lamenectomy! Also, the

companies that make the hardware have been known to offer large

kickbacks and consulting fees to surgeons who are using their

hardware.

The url is: http://www.nytimes.com/2003/12/31/business/31BACK.html?

pagewanted=1

(You have to subscribe to the NY Times service, tho, to read the

article.) So, my question is, does this apply to us? Can our

revisions surgeries be less extensive, or is this for other spinal

patients? At any rate, I still found this illuminating. Hope this

helps.

Robin

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