{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T05:30:22Z","timestamp":1702445422249},"reference-count":2,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Neurosurgeons and orthopedists, who have received specific training, should be the ones performing spinal surgery. Here, we present a case in which spinal surgeons secondarily (e.g., 6 months later) found that a patient\u2019s first lumbar discectomy, performed by an interventional specialist, had been a \u201csham\u201d procedure.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 30-year-old male presented with sciatica attributed to a magnetic resonance imaging documented large, extruded disc at the L4-5 level. An interventional pain management specialist (IPMS) performed two epidural steroid injections; these resulted in an exacerbation of his pain. The IPMS then advised the patient that he was a surgeon and performed an \u201cinterventional\u201d microdiscectomy. Secondarily, 6 months later, when the patient presented to a spinal neurosurgeon with a progressive cauda equina syndrome, the patient underwent a bilateral laminoforaminotomy and L4-L5 microdiscectomy. Of interest, at surgery, there was no evidence of scarring from the IPMS\u2019 prior \u201cmicrodiscectomy;\u201d it had been a \u201csham\u201d operation. Following the second surgery, the patient\u2019s cauda equina syndrome resolved.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>IMPS, who are not trained as spinal surgeons should not be performing spinal surgery\/ microdiscectomy.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_672_2020","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:25:10Z","timestamp":1609230310000},"page":"467","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Interventionist performs a \u201csham\u201d lumbar microdiscectomy: Should interventionalists be performing spinal surgery?"],"prefix":"10.25259","volume":"11","author":[{"given":"Ramsis F.","family":"Ghaly","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, United States."},{"name":"Ghaly Neurosurgical Associates, Aurora, Chicago, Illinois, United States."},{"name":"Department of Anesthesiology, University of Illinois, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zinaida","family":"Perciuleac","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth D.","family":"Candido","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, United States."},{"name":"Department of Anesthesiology, University of Illinois, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nebojsa Nick","family":"Knezevic","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, United States."},{"name":"Department of Anesthesiology, University of Illinois, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"10.25259\/SNI_672_2020\/ref-1","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1055\/s-0030-1253513","article-title":"Percutaneous treatment of intervertebral disc herniation","volume":"27","author":"Buy","year":"2010","journal-title":"Semin Intervent Radiol"},{"key":"10.25259\/SNI_672_2020\/ref-2","doi-asserted-by":"crossref","first-page":"657","DOI":"10.4103\/ajns.AJNS_119_17","article-title":"Current concepts in intradiscal percutaneous minimally invasive procedures for chronic low back pain","volume":"14","author":"Gelalis","year":"2019","journal-title":"Asian J Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/interventionist-performs-a-sham-lumbar-microdiscectomy-should-interventionalists-be-performing-spinal-surgery\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/interventionist-performs-a-sham-lumbar-microdiscectomy-should-interventionalists-be-performing-spinal-surgery\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:25:12Z","timestamp":1609230312000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/interventionist-performs-a-sham-lumbar-microdiscectomy-should-interventionalists-be-performing-spinal-surgery\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,29]]},"references-count":2,"alternative-id":["10.25259\/SNI_672_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_672_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,29]]},"article-number":"467"}}