Variação de conduta cirúrgica em doença degenerativa da coluna lombar Surgical decision making variation in degenerative lumbar spine Variación de conducta quirúrgica en la enfermedad degenerativa de la columna lumbar

Objective: to determine the surgical decision making variation in five degenerative lumbar spine clinical situations. Determine whether factor related to spinal surgeon training program, experience and age are determinants in surgical decision making for each case. Methods: ten orthopedists and ten neurosurgeons from different ages were questioned about surgery indication, approach options, need for decompression, need for fusion with instrumentation or not for five degenerative lumbar spinal clinical scenarios. Information about history, examination and image studies (all examiners had the same information and oriented to answer thinking in their own experience). Cases presented: instability and disc disease in a Young patient; extruded lumbar hernia