Your Name :
Date of Spinal Fusion Surgery :
County in which the Surgery took place :
Is this your first Spinal Fusion :
YesNo
If no, how many spinal fusions have you had?
Was your Spinal Fusion performed by a Neurosurgeon or Orthopaedic Surgeon?:
NeurosurgeonOrthopaedicDo not recall
Were you on narcotics to relieve pain prior to the Spinal Fusion? :
Are you on narcotics six months after Spinal Fusion? :
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