Spine surgery: Ortho vs NeuroCreated by:
Medicine has evolved into a lot of specialties and subspecialties. Because of this, a lot of subspecialties have considerable overlap. For example, a neurosurgeon or an orthopedic surgeon can both treat surgical causes of low back pain.Neurosurgeons have the advantage of being able to repair the dura and treat intrinsic spinal cord diseases. Orthopedists,on the other hand, have an advantage in terms of arthrodesis and performing scoliosis surgery. In the clinical setting, it is really a matter of who the patient goes to, or who gets the referral. In the Philippines, historically, spine diseases were predominantly managed by neurosurgeons. But in the recent years, the specialty of orthopedic surgery gained more popularity and consequently, neurosurgeons began losing a lot of their patients to orthopedists. I’d like to ask, in your local setting, who do you refer to for surgical cases of low back pain? When do you refer to a neurosurgeon/orthopedist?