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March 10, 1999

Clinical Crossroads: A 45-Year-Old Man With Low Back Pain

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(10):893-895. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-10-jac90000

To the Editor: I concur with Dr Weinstein's1 conservative approach to management of the patient reviewed. The most interesting observation was the extremely disparate recommendations from the different surgical consultants, with the orthopedist recommending a 2-level instrumented fusion and the neurosurgical consultant recommending no surgery and that the patient cease his normal exercise regimen, which was primarily jogging.