This 2004 NEJM 'Sounding Board' commentary by Deyo, Nachemson, and Mirza examines the rapid growth of spinal fusion surgery in the US and asks whether the evidence justifies its expanding use — particularly for degenerative disk disease and with surgical implants.
This paper serves as a reminder to critically evaluate indications for spinal fusion and consider conservative management options. The title's emphasis on 'restraint' suggests the importance of evidence-based decision-making rather than reflexive surgical intervention for spine conditions.
This 2004 NEJM 'Sounding Board' commentary by Deyo, Nachemson, and Mirza examines the rapid growth of spinal fusion surgery in the US and asks whether the evidence justifies its expanding use — particularly for degenerative disk disease and with surgical implants.
This paper serves as a reminder to critically evaluate indications for spinal fusion and consider conservative management options. The title's emphasis on 'restraint' suggests the importance of evidence-based decision-making rather than reflexive surgical intervention for spine conditions.