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. 2017 Aug 17;18:354. doi: 10.1186/s12891-017-1712-0

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© The Author(s). 2017

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Second opinion flow chart. The boxes highlighted in blue summarise the main results: of the 425 participants who consented, were eligible to participate and agreed to complete the full second opinion protocol (a-c), 282 (66.4%) were not recommended surgery by the second opinion (b + d + e) and 143 (33.6%) were recommended spine surgery (f)