Table 1.
Description of each clinical scenario and the most common combination of procedure, bone graft, and additional treatments chosen by respondents as current practice. (TLIF = transforaminal lumbar interbody fusion).
| 1 | Scenario | C6-C7 disc herniation with monoradiculopathy in a 60 year old non-smoker |
| Current | Instrumented fusion with anterior plate and screws, structural allograft, neuromonitoring, and hard collar | |
| 2 | Scenario | C6-C7 disc herniation with monoradiculopathy in a 50 year old smoker with active worker's compensation claim |
| Current | Instrumented fusion with anterior plate and screws, structural allograft, neuromonitoring, and hard collar | |
| 3 | Scenario | C5-6, C6-C7 disc herniation with monoradiculopathy in a 60 year old non-smoker |
| Current | Instrumented fusion with anterior plate and screws, structural allograft, neuromonitoring, and hard collar | |
| 4 | Scenario | C4-C5, C5-C6, C6-C7 disc herniation with monoradiculopathy in a 50 year old smoker with active worker's compensation claim |
| Current | Instrumented fusion with anterior plate and screws, structural allograft, neuromonitoring, and hard collar | |
| 5 | Scenario | C3-C4, C4-C5, C5-C6, C6-C7 disc herniation with cervical spondylotic myelopathy in a 70 year old |
| Current | Instrumented fusion with lateral mass screws, iliac crest autograft, allograft demineralized bone matrix, neuromonitoring, and hard collar | |
| 6 | Scenario | L3-L4 isthmic spondylolisthesis with symptomatic radiculopathy in a 50 year old non-smoker |
| Current | Instrumented fusion with pedicle screws and rods, TLIF device, neuromonitoring; no consensus on bone graft | |
| 7 | Scenario | L4-L5 degenerative spondylolisthesis with neurogenic claudication in a 50 year old non-smoker |
| Current | Instrumented fusion with pedicle screws and rods, TLIF device, neuromonitoring; no consensus on bone graft | |
| 8 | Scenario | L2-L5 degenerative 40-degree scoliosis with 3 mm L3-L4 and L4-L5 lateral listhesis and neurogenic claudication in a 50 year old non-smoker |
| Current | Instrumented fusion with pedicle screws and rods, allograft demineralized bone matrix, neuromonitoring, cell saver |