How Spine Surgery Decisions Are Made
Spine surgery decisions are based on imaging-based diagnosis, symptom correlation, and shared decision-making between surgeon and patient.
Understanding when surgery is appropriate—and when it's not—is essential for making informed decisions about your spine care.
Minimally Invasive vs Fusion
Understanding when motion preservation is appropriate and when fusion is necessary for optimal outcomes.
Read moreWhen Is Spine Surgery Necessary
Clear criteria for surgical intervention: progressive neurological symptoms, failed conservative care, and quality of life impact.
Read moreWhen NOT to Have Spine Surgery
Understanding when conservative treatment is more appropriate and what red flags indicate surgery may not help.
Read moreStenosis: Surgery vs Injections
Comparing surgical decompression and epidural injections for spinal stenosis—when each approach makes sense.
Read moreSciatica: When to Worry
Red flag symptoms that require urgent evaluation versus typical sciatica that improves with conservative care.
Read moreOur Decision-Making Philosophy
Imaging-Based Diagnosis
MRI and CT findings must match your symptoms. Not every abnormality on imaging needs surgery—and not every pain comes from what shows on a scan. Accurate diagnosis is the foundation of good outcomes.
Conservative Treatment First
Most spine conditions improve with non-surgical care. Physical therapy, medications, and injections are tried first unless you have progressive neurological symptoms or other urgent indications.
Shared Decision-Making
You'll understand what's wrong, what the options are (including non-surgical), and what to expect—before making any decisions. Your values, goals, and preferences matter.
Join the Greenberg Spine Waitlist
Receive scheduling updates and educational resources when our Fort Wayne clinic opens in August 2026.
Educational updates only. No spam. No medical advice.
Join the Greenberg Spine Waitlist