1. Beyond Dogma: The Three E Test for New Technologies.
- Author
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Chapman, Jens R., Wiechert, Karsten, and Wang, Jeffrey C.
- Subjects
SPINAL surgery ,MINIMALLY invasive procedures ,BLOOD loss estimation ,DOGMA ,SURGICAL decompression ,LASER surgery - Abstract
The editorial discusses the concept of minimally invasive spine surgery (MISS) and the rapid dissemination of new technologies associated with it. The focus seems to be on the increasing use of smaller surgical incisions and complex gadgets, rather than the actual goals of spine surgery, such as safe decompression and stable reconstruction. The article acknowledges the benefits and opportunities that MISS offers, but also highlights some common themes and complications observed in MISS-treated patients. It emphasizes the need for ongoing learning and improvement in the field, and cautions against assuming that less invasive access technology should be the new standard of care for all degenerative conditions. The article concludes by discussing the three E's of spine surgery: efficacy, effectiveness, and efficiency, and suggests that MISS is currently in the efficiency phase but has not yet become a new standard of care. [Extracted from the article]
- Published
- 2024
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