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Re:Surgery, the Ultimate Placebo by DoingIsLearning on Friday December 18, 2020 @10:15PM (#25474657)
Is what you are claiming still accurate today? That Cochrane review is 15 years old, a lot has changed.

Spondylosis (vertebrae wear) has a primary cause, which is more often than not a herniated disc above or below that vertebra.

Unless there is some extreme space constraint most Orthopedists or Neurosurgeons would attempt an artificial disc replacement prosthesis instead of vertrebra fusion.

Re:Surgery, the Ultimate Placebo by calvano915 on Sunday December 20, 2020 @10:25AM (#25486837)
Unnecessary/ineffective fusions are still happening all the time. My Gf is a PT and unfortunately had to work for one of the surgeons for a time, as recent as 2 years ago. So perhaps this is a regional issue, but there's still not much pushback from payers in hundreds of cases yearly. Perhaps 2020 may be different due to COVID reducing procedures in general.