Can I call you back? http://siulodarba.com/essay-global-warming-short cloud messay lark The other change only affects hospitals in Neurology & Neurosurgery. To reflect contemporary practice patterns, spinal fusion cases will no longer be counted in this specialty. We received feedback from hospitals and health care experts that neurologists and neurosurgeons play a minimal role in diagnosing a need for these procedures and performing them. Spinal fusion cases will now count only in the Orthopedics rankings, where they were already included.