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Research ArticleEndoscopic Minimally Invasive Surgery

Comparative Analysis of Learning Curve, Complexity, Psychological Stress, and Work Relative Value Units for CPT 62380 Endoscopic Lumbar Spinal Decompression vs Traditional Lumbar Spine Surgeries: A Paired Rasch Survey Study

Kai-Uwe Lewandrowski, Heber Humberto Alfaro Pachicano, Rossano Kepler Alvim Fiorelli, John C. Elfar, Stefan Landgraeber, Joachim Oertel, Stefan Hellinger, Álvaro Dowling, Paulo Sérgio Teixeira De Carvalho, Max R. F. Ramos, Helton Defino, João Paulo Bergamaschi, Paul Houle, Nicola Montemurro, Christopher Yeung, Marcelo Brito, Douglas P. Beall, Gerd Ivanic, Zhang Xifeng, Zhen-Zhou Li, Hyeun-Sung Kim, Jin-Sung L. Kim and Morgan P. Lorio
International Journal of Spine Surgery April 2024, 18 (2) 138-151; DOI: https://doi.org/10.14444/8594
Kai-Uwe Lewandrowski
1 Division Personalized Pain Research and Education, Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA
2 Department of Orthopaedics, Full Professor, Fundación Universitaria Sanitas, Bogotá, D.C., Colombia
3 Department of Orthopedics at Hospital Universitário Gaffree Guinle, Dr. honoris causa, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
4 National Academy of Medicine of Colombia, Bogotá, D.C., Colombia
5 National Academy of Medicine of Brazil, Rio de Janeiro, RJ, Brazil
MD
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  • For correspondence: business@tucsonspine.com
Heber Humberto Alfaro Pachicano
6 Star Médica, Veracruz, México
MD
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Rossano Kepler Alvim Fiorelli
7 Department of General and Specialized Surgery, Gaffrée e Guinle Universitary Hospital, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil
MD
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  • ORCID record for Rossano Kepler Alvim Fiorelli
John C. Elfar
8 Department of Orthopedic Surgery, University of Arizona College of Medicine – Tucson Campus, Tucson, AZ, USA
MD
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  • ORCID record for John C. Elfar
Stefan Landgraeber
9 Universitätsklinikum des Saarlandes, Klinik für Orthopädie, Homburg, Germany
MD
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  • ORCID record for Stefan Landgraeber
Joachim Oertel
10 Universitätsklinikum des Saarlandes Neurosschirurgie Klinikdirektor, Homburg, Germany
MD
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  • ORCID record for Joachim Oertel
Stefan Hellinger
11 Department of Orthopedic Surgery, Arabellaklinik, Munich, Germany
MD
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  • ORCID record for Stefan Hellinger
Álvaro Dowling
12 Department of Orthopedic Surgery, University of São Paulo, Ribeirão Preto, Brazil
MD
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  • ORCID record for Álvaro Dowling
Paulo Sérgio Teixeira De Carvalho
13 Pain and Spine Minimally Invasive Surgery Service at Gaffree Guinle University Hospital, Rio de Janeiro, Brazil
MD, PHD
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  • ORCID record for Paulo Sérgio Teixeira De Carvalho
Max R. F. Ramos
14 Federal University of the Rio de Janeiro State UNIRIO, Rio de Janeiro, Brazil
15 Orthopedic Clinics at Gaffrée Guinle University Hospital HUGG,, Rio de Janeiro, Brazil
MD, PHD
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Helton Defino
16 Department of Orthopaedic Spine Surgery, University of São Paulo, Ribeirão Preto, Brazil
MD, PHD
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  • ORCID record for Helton Defino
João Paulo Bergamaschi
17 Atualli Spine Care, Sao Paulo, Brazil
MD
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Paul Houle
18 Cape Cod Healthcare, Boston University School of Medicine, Hyannis, MA, USA
MD
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Nicola Montemurro
19 Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy
MD, PHD
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Christopher Yeung
20 Desert Institute for Spine Care, Phoenix, AZ, USA
MD
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Marcelo Brito
21 Clínica Articulare, Belem, Brazil
MD
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Douglas P. Beall
22 Comprehensive Specialty Care, Clinical Radiology of Oklahoma, Edmond, OK, USA
MD
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Gerd Ivanic
23 Die Orthopaeden, Graz, Austria
MD
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Zhang Xifeng
24 Department of Orthopedics, First Medical Center, PLA General Hospital, Beijing, China
MD
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Zhen-Zhou Li
25 Department of Orthopedics, Chinese PLA General Hospital, Beijing, China
MD
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Hyeun-Sung Kim
26 Spinartus Hospital Chungdam, Seoul, South Korea
MD, PHD
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Jin-Sung L. Kim
27 Department of Neurosurgery, Seoul St. Mary’s Hospital, Seoul, South Korea
28 College of Medicine, The Catholic University of Korea, Seoul, South Korea
MD, PHD
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Morgan P. Lorio
29 Advanced Orthopedics, Altamonte Springs, FL, USA
MD
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Article Information

vol. 18 no. 2 138-151
DOI 
https://doi.org/10.14444/8594
PubMed 
38677780

Published By 
International Journal of Spine Surgery
Online ISSN 
2211-4599
History 
  • Published online May 6, 2024.

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  • Latest version (April 27, 2024 - 05:56).
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Copyright & Usage 
This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2024 ISASS. To see more or order reprints or permissions, see http://ijssurgery.com.

Author Information

  1. Kai-Uwe Lewandrowski, MD1,2,3,4,5,†⇑,
  2. Heber Humberto Alfaro Pachicano, MD6,‡,
  3. Rossano Kepler Alvim Fiorelli, MD7,
  4. John C. Elfar, MD8,
  5. Stefan Landgraeber, MD9,
  6. Joachim Oertel, MD10,§,
  7. Stefan Hellinger, MD11,
  8. Álvaro Dowling, MD12,¶,
  9. Paulo Sérgio Teixeira De Carvalho, MD, PHD13,
  10. Max R. F. Ramos, MD, PHD14,15,
  11. Helton Defino, MD, PHD16,††,
  12. João Paulo Bergamaschi, MD17,
  13. Paul Houle, MD18,
  14. Nicola Montemurro, MD, PHD19,
  15. Christopher Yeung, MD20,**,
  16. Marcelo Brito, MD21,
  17. Douglas P. Beall, MD22,
  18. Gerd Ivanic, MD23,
  19. Zhang Xifeng, MD24,
  20. Zhen-Zhou Li, MD25,
  21. Hyeun-Sung Kim, MD, PHD26,
  22. Jin-Sung L. Kim, MD, PHD27,28,§§ and
  23. Morgan P. Lorio, MD29,¶¶
  1. 1 Division Personalized Pain Research and Education, Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA
  2. 2 Department of Orthopaedics, Full Professor, Fundación Universitaria Sanitas, Bogotá, D.C., Colombia
  3. 3 Department of Orthopedics at Hospital Universitário Gaffree Guinle, Dr. honoris causa, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
  4. 4 National Academy of Medicine of Colombia, Bogotá, D.C., Colombia
  5. 5 National Academy of Medicine of Brazil, Rio de Janeiro, RJ, Brazil
  6. 6 Star Médica, Veracruz, México
  7. 7 Department of General and Specialized Surgery, Gaffrée e Guinle Universitary Hospital, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil
  8. 8 Department of Orthopedic Surgery, University of Arizona College of Medicine – Tucson Campus, Tucson, AZ, USA
  9. 9 Universitätsklinikum des Saarlandes, Klinik für Orthopädie, Homburg, Germany
  10. 10 Universitätsklinikum des Saarlandes Neurosschirurgie Klinikdirektor, Homburg, Germany
  11. 11 Department of Orthopedic Surgery, Arabellaklinik, Munich, Germany
  12. 12 Department of Orthopedic Surgery, University of São Paulo, Ribeirão Preto, Brazil
  13. 13 Pain and Spine Minimally Invasive Surgery Service at Gaffree Guinle University Hospital, Rio de Janeiro, Brazil
  14. 14 Federal University of the Rio de Janeiro State UNIRIO, Rio de Janeiro, Brazil
  15. 15 Orthopedic Clinics at Gaffrée Guinle University Hospital HUGG,, Rio de Janeiro, Brazil
  16. 16 Department of Orthopaedic Spine Surgery, University of São Paulo, Ribeirão Preto, Brazil
  17. 17 Atualli Spine Care, Sao Paulo, Brazil
  18. 18 Cape Cod Healthcare, Boston University School of Medicine, Hyannis, MA, USA
  19. 19 Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy
  20. 20 Desert Institute for Spine Care, Phoenix, AZ, USA
  21. 21 Clínica Articulare, Belem, Brazil
  22. 22 Comprehensive Specialty Care, Clinical Radiology of Oklahoma, Edmond, OK, USA
  23. 23 Die Orthopaeden, Graz, Austria
  24. 24 Department of Orthopedics, First Medical Center, PLA General Hospital, Beijing, China
  25. 25 Department of Orthopedics, Chinese PLA General Hospital, Beijing, China
  26. 26 Spinartus Hospital Chungdam, Seoul, South Korea
  27. 27 Department of Neurosurgery, Seoul St. Mary’s Hospital, Seoul, South Korea
  28. 28 College of Medicine, The Catholic University of Korea, Seoul, South Korea
  29. 29 Advanced Orthopedics, Altamonte Springs, FL, USA
  1. Correspondence to Kai-Uwe Lewandrowski, Center For Advanced Spine Care of Southern Arizona, Tucson, AZ 85721, USA; business{at}tucsonspine.com
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Comparative Analysis of Learning Curve, Complexity, Psychological Stress, and Work Relative Value Units for CPT 62380 Endoscopic Lumbar Spinal Decompression vs Traditional Lumbar Spine Surgeries: A Paired Rasch Survey Study
Kai-Uwe Lewandrowski, Heber Humberto Alfaro Pachicano, Rossano Kepler Alvim Fiorelli, John C. Elfar, Stefan Landgraeber, Joachim Oertel, Stefan Hellinger, Álvaro Dowling, Paulo Sérgio Teixeira De Carvalho, Max R. F. Ramos, Helton Defino, João Paulo Bergamaschi, Paul Houle, Nicola Montemurro, Christopher Yeung, Marcelo Brito, Douglas P. Beall, Gerd Ivanic, Zhang Xifeng, Zhen-Zhou Li, Hyeun-Sung Kim, Jin-Sung L. Kim, Morgan P. Lorio
International Journal of Spine Surgery Apr 2024, 18 (2) 138-151; DOI: 10.14444/8594

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Comparative Analysis of Learning Curve, Complexity, Psychological Stress, and Work Relative Value Units for CPT 62380 Endoscopic Lumbar Spinal Decompression vs Traditional Lumbar Spine Surgeries: A Paired Rasch Survey Study
Kai-Uwe Lewandrowski, Heber Humberto Alfaro Pachicano, Rossano Kepler Alvim Fiorelli, John C. Elfar, Stefan Landgraeber, Joachim Oertel, Stefan Hellinger, Álvaro Dowling, Paulo Sérgio Teixeira De Carvalho, Max R. F. Ramos, Helton Defino, João Paulo Bergamaschi, Paul Houle, Nicola Montemurro, Christopher Yeung, Marcelo Brito, Douglas P. Beall, Gerd Ivanic, Zhang Xifeng, Zhen-Zhou Li, Hyeun-Sung Kim, Jin-Sung L. Kim, Morgan P. Lorio
International Journal of Spine Surgery Apr 2024, 18 (2) 138-151; DOI: 10.14444/8594
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Keywords

  • CPT® code 62380
  • RUC
  • Rasch methodology
  • endoscopic surgery
  • Learning curve
  • difficulty
  • psychological stress
  • work effort

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