The Scientific Society

General information about the research department

Welcome to the website of the Scientific Society for Minimally Invasive Therapy of the Spine

Research is a top priority at the apex spine center. dr Schubert / Helmbrecht and their team are constantly looking for improvements in the field of endoscopic disc surgery (spine therapy) to treat back pain. Specially developed instruments belong to the unique inventory of the spinal column center.

Our tasks consist mainly of following the recovery process of the operated patients with the help of questionnaires.

We are therefore in close contact with our patients after the operation and also gain insights into the effectiveness of endoscopy and other surgical procedures that we develop and carry out in-house to ensure with other studies. From them we receive information about the current state of health of our patients after a disc operation.

This data is evaluated and presented in scientific studies at international spine congresses, medical meetings, back therapist meetings, sports associations, etc. As a result, we are in constant contact with other institutes, including international ones, and can compare our data with similar or conventional surgical methods.

In our studies, among other things, the biological causes of back pain are analyzed, various conservative methods are addressed, medical preparations and their effects are compared, etc.

If you have any questions, please do not hesitate to contact us on +49 (0)89 1500 166-0

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researchFax : +49 89 1500 166-0

Scientific Society

apex spine concept®
 spinal center
at the Olympic Park
Christian Wagner
Dachauerstr. 124 a
80637 Munich

Publications national and international

1994
Publication of "Surgical Guide" Spital Altstätten - Switzerland

2005
Schubert M , Hoogland T.
TRANSFORAMINAL ENDOSCOPIC NUCLEOTOMY WITH FORAMINOPLASTY IN LUMBAR DISC HERNIATIONS. ENDOSCOPIC TRANSFORAMINAL NUCLEOTOMY WITH FORAMINOPLASTY FOR LUMBAR DISK HERNIATION
Urban & Vogel. Oper Orthop Traumatolog 2005/5:641-661

2006
Hoogland T, Schubert M , Miklitz B, Ramirez A.
TRANSFORAMINAL POSTEROLATERAL ENDOSCOPIC DISCECTOMY WITH OR WITHOUT THE COMBINATION OF A LOW-DOSE CHYMOPAPAIN
A Prospective Randomized Study in 280 Consecutive Cases.
Spine 2006; Volume 31, Number 24, ppE890-E897

2008
Hoogland T, Schubert M , Dr. Karolien van den Brekel-Dijkstra (Japan), Miklitz B, Ramirez A.
ENDOSCOPIC TRANSFORAMINAL DISCECTOMY FOR RECURRENT LUMBAR DISC HERNIATION
A Prospective Randomized Study in 262 Consecutive Cases.
Spine 2008; Volume 33, Number 9, pp 973-978

2009
Schubert M , Helmbrecht A.
THE MICROSURGERICAL VS ENDOSCOPIC TREATMENT OF LUMBAR DISC HERNIATION
Transforaminal endoscopic nucleotomy in all types of lumbar disc herniation.
ATOSnews, issue 13, July 2009, pages 49 - 52

2010
Schubert M , Helmbrecht A, Hoogland T
THE TRANSFORAMINAL ENDOSCOPIC NUCLEOTOMY
Results of a prospective study with a 2-year follow-up
Orthopedic Practice VSOU, Volume 46 09/2010, Page 457 - 462

2010
Schubert M , Helmbrecht A.
THE TRANSFORAMINAL ENDOSCOPIC LUMBAR NUCLEOTOMY IN ALL TYPES OF HERNIATED DISC
Microsurgical versus endoscopic treatment
Surgical General, 11th year / 10th issue, page 519-527

2010
Schubert M , Helmbrecht A, Wagner C
The microsurgical vs endoscopic treatment of lumbar disc herniation
Transforaminal endoscopic lumbar nucleotomy for all types of herniated discs - even in the presence of a foraminal stenosis
Orthopaedists in profile, 02/2010, pages 32-34

2014
Schubert M, Merk S
Retrospective Evaluation of Efficiency and Safety of an Anterior Percutaneous Approach for Cervical Discectomy
 Retrospective case studies
Asian Spine J Aug 2014; 8(4): 412-420

More comments:

Book contribution by Dr. Armin Helmbrecht

The cervical microforaminotomy

appeared:
A. Helmbrecht, V. Heidecke, Börm/Meyer
Spinal Neurosurgery
Cervical microforaminotomy
Schattauer-Verlag 2008, Stuttgart-New York

 

The cervical prosthesis

appeared:
V. Heidecke, A. Helmbrecht, N. Rainov
Spinal Neurosurgery
Cervical microforaminotomy
Schattauer-Verlag 2008, Stuttgart-New York

Book contribution by Dr. Michael Schubert

Percutaneous endoscopic lumbar discectomy: pros and cons of outside-in versus inside-out technique

appeared:
KU. Lewandrowski, S.H0-Lee, M. Ippreburg
Endoscopic Spinal Surgery
JP medical publishers 2013, London-St.Louis-Panama City-New Delhi

 

Anterior percutaneous cervical discectomy

appeared:
KU. Lewandrowski, S.H0-Lee, M. Ippreburg
Endoscopic Spinal Surgery
JP medical publishers 2013, London-St.Louis-Panama City-New Delhi

 

Endoscopic transforaminal thoracic discectomy

appeared:
Kai-Uwe Lewandrowski, Michael Schubert, Jorge F Ramírez Léon, Richard G Fessler
Minimally invasive spinal surgery
Principles and Evidence-Based Practice
JP medical publishers 2018, London-St.Louis-Panama City-New Delhi

 

Future suggestions

appeared:
Jin Sung Kim, Jun Ho Lee, Yong Ahn
Endoscopic Procedures on the Spine
Springer New York, LCC 2020, 233 Spring Street, New York, NY 10013 USA

interesting and worth knowing publication in the Spine Journal

The latest scientific study involving Dr. Michael Schubert was published in the current issue of the renowned Spine Journal on April 20, 2008. This article reports on the endoscopic surgical success in patients who had previously undergone conventional, i.e. microscopically open, prior surgery

 

Operate better than inject! ... the latest study in the Spine Journal confirms:
Surgical measures with significantly better results than conservative forms of treatment for a herniated disc. The largest multi-centre comparative study to date with 2000 patients in the USA has clearly demonstrated that microsurgery for herniated discs achieves better results after 2 years than conservative treatment

SPINE JOURNAL 2008

 

Patients who underwent stenosis surgery and previously received epidural pain therapy showed a significantly poorer postoperative course compared to patients who never received injection therapy before the operation. This group showed a significantly higher degree of satisfaction, complained significantly less about back pain, needed less pain medication and were mobile again more quickly. This is confirmed by the latest study in the Spine Journal:
The epidural steroid treatment (epidural pain therapy, Rasz catheter, epidural injection therapy) of patients with spinal stenosis can actually lead to poorer surgical results!

SPINE JOURNAL 2013