Problem-Based Decision Making

  • Michael P. Steinmetz
  • Anis O. Mekhail
  • Edward C. Benzel
Part of the Current Clinical Oncology book series (CCO)


The surgical decision-making process is an art form. No single strategy always works, and even the most inadequate of strategies will work occasionally. The decision-making process involves the assimilation of prior experience of others (e.g., by a learned assessment of the literature), and an in-depth knowledge and awareness of the application of biomechanical and anatomical factors and principles (1).


Cervical Spine Injury Burst Fracture Strut Graft Thoracolumbar Burst Fracture Deformity Progression 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Benzel EC. Biomechanics of Spine Stabilization. Chicago, IL: American Association of Neurological Surgeons; 2001.Google Scholar
  2. 2.
    Sackett D. Evidence-based medicine. Spine 1998; 10:1085–1086.CrossRefGoogle Scholar
  3. 3.
    Lurie JD, Weinstein JN. Shared decision-making and the orthopaedic workforce. Clin Orthop 2001; 385:68–75.PubMedCrossRefGoogle Scholar
  4. 4.
    Deyo RA, Cherkin DC, Weinstein J, Howe J, Ciol M, Mulley AG Jr. Involving patients in clinical decisions: Impact of an interactive video program on outcomes and use of back surgery. Med Care 2000; 38:959–969.PubMedCrossRefGoogle Scholar
  5. 5.
    Rao S, Vadani KM, Jamieson K, Schildhauer T. Pitfalls in the surgical management of cervical spine injuries. Eur Spine J 1996; 5:153–160.PubMedCrossRefGoogle Scholar
  6. 6.
    Perrin RG, McBroom RJ. Anterior versus posterior decompression for symptomatic spinal metastasis. Can J Neurol Sci 1987; 14:75–80.PubMedGoogle Scholar
  7. 7.
    McCormack T, Karaikovic E, Gaines RW. The load sharing classification of spine fractures. Spine 1994; 19:1741–1744.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press, Inc., Totowa, NJ 2006

Authors and Affiliations

  • Michael P. Steinmetz
    • 1
  • Anis O. Mekhail
    • 2
  • Edward C. Benzel
    • 3
  1. 1.Department of NeurosurgeryThe Cleveland Clinic FoundationCleveland
  2. 2.Department of OrthopaedicsUniversity of Illinois at ChicagoChicago
  3. 3.The Cleveland Clinic Spine InstituteThe Cleveland Clinic FoundationCleveland

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