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I've sold implants (screws/rods/biologics) used in spinal surgery for the past 15 years throughout the Midwest area, and have spent many an hour in surgery with dozens of surgeons. The level of expertise amongst the community of spine surgeons is extremely variant. The most important thing you can do is research the quality of work done by surgeons in your area. While most, if not all, are well intentioned, the differences in aptitude and knowledge is frankly frightening.
In Tennessee, Kevin Foley is highly regarded, as are a few others. Spine surgery done by anyone less than a top-tier surgeon is much more of a crapshoot than you think. Find out who the best is in your area and go to them - you don't want to have to do it twice - end of story.
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