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J Clin Invest 2012;122, 2601-2612, doi:10.1172/jci45785

(8) Considering the majority of these procedures are unnecessarily being performed for degenerative disc disease alone, spine surgeons should be increasingly asked why they are offering these operations to their patients A team of Japanese researchers found that patients with lumbar spinal stenosis who do not improve after nonsurgical treatments are typically treated surgically using decompressive surgery and spinal fusion surgery