CHICAGO — An appropriate use criteria study presented at the North American Spine Society Annual Meeting showed decompression without fusion was inappropriate for most cases of degenerative scoliosis and stenosis.
Using the RAND/UCLA Appropriateness Method, Michael D. Daubs, MD, and colleagues developed 260 scenarios based on seven different clinical characteristics of patients with degenerative scoliosis and stenosis. A panel of neurosurgeons, orthopedic spine surgeons, physiatrists, a researcher/physical therapist and a geriatrician discussed the risks and benefits and rated the appropriateness of the following five treatments for each scenario: decompression alone; fusion alone; decompression and fusion; fusion and deformity correction; and decompression, fusion and deformity correction, according to Daubs.
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