Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

[Arthroscopic reconstruction of anterior cruciate ligament with preservation of the remnant bundle].

Zhongguo gu shang = China journal of orthopaedics and traumatology·2013

Same author

[Anterior cruciate ligament reconstruction with tendon graft enveloped by preserved remnants].

Zhongguo gu shang = China journal of orthopaedics and traumatology·2013

Same author

Genetic and molecular biological characterization of two homologous cheR genes from Leptospira interrogans.

Acta biochimica et biophysica Sinica·2013

Same author

Upregulation of glycoprotein nonmetastatic B by colony-stimulating factor-1 and epithelial cell adhesion molecule in hepatocellular carcinoma cells.

Oncology research·2013

Same author

Effect of implantation of biodegradable magnesium alloy on BMP-2 expression in bone of ovariectomized osteoporosis rats.

Materials science & engineering. C, Materials for biological applications·2013

Same author

[Texture variation of CC 5052 aluminum alloy slab from surface to center layer by XRD].

Guang pu xue yu guang pu fen xi = Guang pu·2013

Search research articles

Related Experiment Video

Updated: Sep 30, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Second opinions for spinal surgery: a scoping review.

Giovanni E Ferreira^1,2, Joshua Zadro^3,4, Chang Liu^3,4

¹Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia. giovanni.ferreira@sydney.edu.au.

BMC Health Services Research

|March 18, 2022

Summary

Second opinions for spinal surgery may reduce short-term rates but long-term effects and patient outcomes remain unclear. More research is needed to confirm the value of these services in reducing spinal surgery.

Keywords:

Health services research Low back pain, neck pain, spine surgery Orthopaedic surgery Orthopaedics

More Related Videos

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

Related Experiment Videos

Last Updated: Sep 30, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

Area of Science:

Orthopedics
Health Services Research

Background:

Second opinions aim to clarify complex diagnoses and management plans, especially for high-risk procedures.
Spinal surgery for back pain has limited efficacy, making second opinions particularly relevant.

Purpose of the Study:

To review the characteristics, agreement rates, impact on surgery and outcomes, and costs of second opinion services for spinal pain.
To assess the evidence for second opinions in patients considering or recommended for spinal surgery.

Main Methods:

A scoping review of studies on second opinions for spinal pain (low back or neck pain) was conducted.
Searches included PubMed, EMBASE, Cochrane CENTRAL, and CINAHL up to May 2021.
Included studies of any design describing second opinion interventions for spinal surgery candidates.

Main Results:

12 observational studies were included, most with poor methodological quality.
Diagnostic agreement between first and second opinions varied (53-96%), with lower agreement on the need for surgery (0-83%).
Second opinions may decrease short-term surgery rates and healthcare costs but long-term sustainability and patient outcomes are uncertain.

Conclusions:

Second opinions generally recommend less surgery than initial opinions, potentially reducing rates in the short term.
It remains unclear if surgery is merely delayed or if long-term benefits are achieved.
High-quality randomized trials are necessary to establish the definitive value of second opinions for reducing spinal surgery.