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Pre & Post Op Diagnosis
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Number of Levels Implanted
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1st Lumbar Level
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Size of Implant
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2nd Lumbar Level
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Size of Implant
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3rd Lumbar Level
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Size of Implant
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Anesthesia
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Anesthesiologist
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Complications
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Fill In Complications
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Interim History "System"
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Superion: Lumbar Level(s)
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Additional information "fill in"
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Pt Taken to Recovery Good Condition
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Fluoro Images
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