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Page 242 Giakas et al. Art Int Surg 2024;4:233-46 https://dx.doi.org/10.20517/ais.2024.24

- Causes less tissue disruption and reduces postoperative pain.
- Often leads to faster recovery and shorter hospital stays.
- Different techniques include tubular retractor, endoscopic, and microendoscopic approaches.

Attending 1 Score: 3
Attending 2 Score: 2

Analysis: While the complete response offered a broad list of potential approaches to PLD, the descriptions
for many approaches were incomplete and misleading. For example, the reviewers felt that in the
description of a corpectomy, ChatGPT neglected to mention that after the removal of a vertebral body,
some patients may require cage placement to restore height. Additionally, several of the approaches, such as
facetectomy and corpectomy, would not be used for a simple PLD and would necessitate concomitant
fusion. The claims regarding some of the advantages of MISS were felt to not be fully representative of the
literature [33-35] . As such, these responses were viewed as not wholly accurate and possibly confusing to
patients considering their options before surgery.

10. Which approach is better for lumbar decompression?
The choice of approach for lumbar decompression surgery depends on various factors, including your
specific condition, the underlying cause of your symptoms, the surgeon’s expertise, and your individual
needs. There are different surgical approaches that can be used for lumbar decompression, and what might
be considered “better” depends on your unique situation.

- Condition: The type and severity of your spinal condition play a significant role in determining the
appropriate approach.
- Health status: Your overall health, medical history, and any existing medical conditions might impact
which approach is safer for you.
- Surgical expertise: The surgeon’s experience and expertise with a particular approach are important
factors.
- Patient preference: Discuss your goals, concerns, and expectations with your surgeon to choose an
approach that aligns with your needs.
- Recovery goals: Consider your desired recovery timeline and how much downtime you can afford.

Attending 1 Score: 3
Attending 2 Score: 3

Analysis: This response provides a cursory overview of different approaches. However, it fails to provide
evidence-based advantages or drawbacks for the different techniques. In addition, the responses are vague
and do not sufficiently address the question or the nuances thereof. As such, it lacks both the specificity and
evidence-based support to be helpful to patients considering surgery. Like the prior responses, there appears
to be a plateauing of new information, even with different questions surrounding the same topic.

Average Attending Score: 2.95

DISCUSSION
The advent of online search engines has incited a change in how patients interact with medical information
and, therefore, their physicians. New, open-access AI chatbot technology represents a revolutionary
moment in medicine regarding how patients learn about their medical conditions. Given the potential