There are two groups of parents on this forum that is determined ONLY by their kids NOT by what they believe. One group with kids who reach surgical range and one group whose kids do not. There is little evidence that anyone can do anything to change groups.
There is not the group that believes in conservative measures and the group that likes surgery that we see claimed over and over and over again. Accepting the fact that there is no good evidence for conservative treatments is NOT equivalent to liking surgery. That is a specious argument. Again, there is only the group whose kids become surgical and the group whose kids do not as far as anyone can tell.
Hope for conservative treatments and realism about reaching surgical range are compatible.
It is correct to try to keep subsurgical kids subsurgical but it is hard to make claims about any successes because there is no good evidence that conservative treatments work in the majority of cases that are destined to be surgical range.
Fusion is far from perfect but that doesn't mean it isn't better than not having surgery for most kids who are in range. Normal is off the table. It's about cutting losses in my opinion. Surgery appears to cut the losses for these kids. That's why it is ethical. Surgeons like Asher can lament the need for surgery but they never stop doing it. They can't refuse to help these kids when they can help them.
The rest is just commentary.
There is not the group that believes in conservative measures and the group that likes surgery that we see claimed over and over and over again. Accepting the fact that there is no good evidence for conservative treatments is NOT equivalent to liking surgery. That is a specious argument. Again, there is only the group whose kids become surgical and the group whose kids do not as far as anyone can tell.
Hope for conservative treatments and realism about reaching surgical range are compatible.
It is correct to try to keep subsurgical kids subsurgical but it is hard to make claims about any successes because there is no good evidence that conservative treatments work in the majority of cases that are destined to be surgical range.
Fusion is far from perfect but that doesn't mean it isn't better than not having surgery for most kids who are in range. Normal is off the table. It's about cutting losses in my opinion. Surgery appears to cut the losses for these kids. That's why it is ethical. Surgeons like Asher can lament the need for surgery but they never stop doing it. They can't refuse to help these kids when they can help them.
The rest is just commentary.
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