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Reuben D. Johnson, DPhil, FRCS; Alexander L. Green, MD, FRCS (eds): Landmark papers in neurosurgery : Oxford University Press, 2010, ISBN 978-0-19-959125-1

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BOOK REVIEW

Reuben D. Johnson, DPhil, FRCS; Alexander L. Green, MD,

FRCS (eds): Landmark papers in neurosurgery

Oxford University Press, 2010, ISBN 978-0-19-959125-1

Nic de Tribolet

Received: 24 March 2011 / Published online: 7 May 2011 # Springer-Verlag 2011

I can’t resist stating that this is an excellent book and should be read by every neurosurgeon in training.

The papers the authors have selected as“landmark” are their own choice, and they have avoided publications on surgical techniques.

There are six chapters: neurovascular neurosurgery, neuro-oncology, head injury, spinal neurosurgery, functional and epilepsy neurosurgery, and paediatric neurosurgery.

Each chapter starts with a well-referenced introduction, following which are sections on specific topics all con-structed in the same way, like the report of a journal club: First the details of the study(ies) to be discussed are summarised, then the references of the main study(ies) and related references, which allows putting the main references into perspective. The study design is clearly presented with tables followed by the primary and secondary outcome measures and their results. The above is then summarised in the conclusions. The authors then make a critique based on well-selected references.

This critique reflects the personal opinion of the authors.

Let me take as an example surgery for lumbar disc herniation, very common in practice and an excellent money-making business. The authors conclude from a Norwegian study that “Surgical treatment was better than conservative management at 1-year follow-up, but this difference became less pronounced over a 10-year period”; from a US study that “Patients received benefit from both surgery and conservative management but no conclusions regarding the superiority of either can be made on an intention-to-treat analysis”; finally from a Netherlands study that “Early surgery for sciatica due to lumbar disc prolapse leads to faster recovery and relief of leg pain. However there are no long-term benefits”. Rather sobering, isn’t it. In the critique however the authors quote another study of the Netherlands examining cost-benefit pointing out that there appears to be a strong economic argument supporting continued surgery for lumbar disc herniation.

What I particularly liked is that the authors are not afraid of discussing controversial topics.

In addition to the precious information provided here, this book will teach young neurosurgeons in training (and the older fully trained ones as well) how to critically read a paper.

Conflicts of interest None. N. de Tribolet (*)

Department of Neurosurgery, University Hospital of Geneva (HUG), 1211 Geneva, Switzerland

e-mail: Nicolas.detribolet@unige.ch Acta Neurochir (2011) 153:1547 DOI 10.1007/s00701-011-1011-8

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