There are good answers but I would add to the other comments that albeit some people do feel it’s guilt-tripping them, the reality is that a lot of back pain cases are due to lifestyle and lifestyle is notoriously hard to fix. It’s easier – albeit also more expensive – to do a quick surgery on the knee to fix a meniscus tear than it is to get someone to start exercising and stop sitting with a bad posture.
But yes, it’s also true that the spine is harder to operate on. There are lots of nerves, the spine bears a lot of weight and needs to be very mobile, etc.
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