While most people think neurosurgeons like Dr. Jacob Januszewski mainly, or even exclusively, operate on patients’ brains, it turns out these highly specialized doctors actually spend much more time treating back pain related to the spine and nervous system.

Januszewski estimates the ratio in most neurosurgery practices as “about 80 percent spine and 20 percent brain,” and says that 80 percent includes treating a wide range of spine-related problems, including adult scoliosis correction, spinal deformities and malformations, laminectomies, cervical lumbar diseconomies and spinal fusions.

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