Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: In the article by Dr
Weinstein,1 the options offered to the patient by the
orthopedic surgeon and the neurosurgeon were not realistic. I think the
option that should have been offered to the patient was either
laminectomy and excision of the herniated disk or nothing. I do not
understand why the patient was offered a spinal fusion, as that is
certainly not indicated in this particular case. A laminectomy,
however, is. I think that if this patient has a foot drop, as would
seem to be indicated from his limping while he runs, many of us in the
orthopedic field would feel that he should undergo a laminectomy.
Meade WC. Clinical Crossroads: A 45-Year-Old Man With Low Back Pain. JAMA. 1999;281(10):893–895. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-10-jac90000
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: