Endoscopic lumbar disc surgery: The hammer and the nail problem or the “Not-So-Easy Go” system
- Bernhard Meyer
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The saying goes: “if you have a hammer, everything looks like a nail”.
This holds true for the communication by Oertel et al. , despite the honesty they display in it for which they are to be commended.
I am grateful for the opportunity to write an editoral, because it may help to clarify some issues:
Although there is no proof at all that minimally invasive access translates into a clinically meaningful advantage, the perpetual quest for it is understandable and certainly justified. It is my firm conviction that papers dealing with this topic are necessary, because progress in science as well as advances in surgery will always come in very small steps these days.
Thus, refuting new techniques or modifications completely for the above reason is not my concept at all. However, two prerequisites need to be met when a new technique is promoted:
It should truly represent a visible advantage over existing techniques with respect to minimal invasiveness.
At least equivalence to standard
- Oertel JK, Mondorf Y, Gaab MR: A new endoscopic spine system: First results with the EASY GO system. Acta Neurochir (Wien) xxxxxx
- Gibson JN, Waddell G (2007) Surgical interventions for lumbar disc prolapse. Cochrane Database Syst Rev. Apr 18;(2):CD001350. Review
- Ruetten S, Komp M, Merk H, Godolias G (2008) Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study. Spine 33(9):931–939 CrossRef
- Righesso O, Falavigna A, Avanzi O (2007) Comparison of open discectomy with microendoscopic discectomy in lumbar disc herniations: results of a randomized controlled trial. Neurosurgery 61(3):545–549 CrossRef
- Ryang YM, Oertel MF, Mayfrank L, Gilsbach JM, Rohde V (2008) Standard open microdiscectomy versus minimal access trocar microdiscectomy: results of a prospective randomized study. Neurosurgery 62(1):174–181 CrossRef
- Endoscopic lumbar disc surgery: The hammer and the nail problem or the “Not-So-Easy Go” system
Volume 151, Issue 9 , pp 1035-1036
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- Bernhard Meyer (1)
- Author Affiliations
- 1. Department of Neurosurgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany