His fourth Liberty single, "You're Sixteen" (written by the Sherman Brothers) backed with "I Beg Your Pardon" (Liberty F-55285), released on October 5, 1960, did even better, reaching number 8 on the Hot 100 and number 3 in the UK Singles Chart, and earned him another gold record. Burnette went back into the studio and under Snuff Garrett's direction recorded "Little Boy Sad". This was released on January 3, 1961, backed with "(I Go) Down to the River" (Liberty F-55298). Shortly after its release, Burnette was hospitalized with a ruptured appendix, which kept him bedridden for several weeks. He was unable to undertake many personal appearances to promote the new record, and it reached only number 17 on the Billboard Hot 100 and number 12 in Britain. Frustrated by this prolonged inactivity he tried to return to work too early, and he promptly collapsed. This meant that his fifth Liberty single, "Big Big World" backed with "Ballad of the One Eyed Jacks" (Liberty F-55318), released on March 30, 1961, received no promotion at all and reached only number 58 on the Hot 100.