PHYSICIAN FAQ'S

For Physicians & Referring Specialists: Our patient care concept.

As you know, neurologic and neurosurgical issues can be difficult to diagnose and treat. They frequently require not only multiple diagnostic test/procedures but also the input of several consultants. We are committed to providing the best care of your patients. We will help to direct your patients through what can be a maze of issues, tests and consultants, thereby streamlining the process towards treatment. During weekly case presentation meetings we have developed relationships with a team of consultants including interventional neuro-radiologists, neurologists, vascular surgeons, neuro-otologists, endocrinologists, pain management specialists, critical care specialists, medical and radiation oncologists. We have a great deal of confidence in these specialists, who are dedicated to providing the Oklahoma city area and surrounding communities with the highest quality of healthcare.

Call 405-455-3393 and speak directly with our office scheduler.

Fax a referral letter or most recent office notes concerning the reason for consult with a copy of the patients demographic and Insurance information with the recent MRI/CT Myelogram report to 405-455-7162.

  • Plain X-rays, of involved area, within six months: A/P and Lateral
  • Closed MRI, of involved area, within six months. May have CT Myelogram if patient has a pacemaker or is otherwise unable to have MRI. (An open MRI is generally not optimal for surgical decision making)
  • Patients may bring additional records or studies done pertaining to the affected area, including old films.

Patients are to bring all films with them. Unfortunately, we will have to reschedule the appointment if the actual hard copy films are not with the patient, we do not accept studies on CD/DVD. If you have questions or are unable to provide the requested information, please call us at 405-628-6808.

Educational Information

Dr. Spence believes in educating patients on their diagnosis and procedure. If you have any questions, please let us know! 

Revision Surgery
Revision surgeries are performed in certain patients to correct problems caused by earlier spinal surgeries. This can be caused by broken hardware, scar tissue developing around the incision site or spinal stenosis. If a patient experiences any of these a revision surgery may need to be performed or the patient may continue to experience chronic pain.
Failed Back Syndrome
Failed Back Syndrome is a term often used to describe the condition of patients who continue to experience chronic pain after an attempted spinal surgery. This can bring forth the need for a revision surgery to repair hardware that was implanted. It’s also possible that the cause needs to be reidentified with a new diagnosis.

Educational Information

Dr. Spence believes in educating patients on their diagnosis and procedure. If you have any questions, please let us know! 

Revision surgeries are performed in certain patients to correct problems caused by broken hardware, scar tissue developing around the incision site or spinal tenosis. If a patient experiences any of these, a revision surgery may need to be performed or the patient may continue to experience chronic pain.

Failed Back Syndrome is a term often used to describe the condition of patients who continue to experience chronic pain after an attempted spinal surgery. This can bring forth the need for a revision surgery to repair hardware that was implanted. It’s also possible that the cause needs to be reidentified with a new diagnosis.

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