"A surgery that is not possible here, is also not possible abroad."
By professor Wilco Peul in one of the leading newspapers in the Netherlands who will be conducting a CCI study. Google translated.
Source:
https://www.telegraaf.nl/watuzegt/2015214658/operatie-die-hier-niet-kan-kan-in-buitenland-ook-niet
Wilco Peul is professor of neurosurgery Leiden-The Hague, LUMC, HMC & HAGA
Patients who undergo surgery in another country, on the assumption that an ailment cannot be treated in the Netherlands; it taunts Ronald Bartels and Wilco Peul.
“All treatments that are possible can be carried out in our country. Without deception and exploitation."
"What is not possible here, is also not possible abroad"
Good quality goes hand in hand with responsible use of resources, say Bartels and Peul. "Exploitation of people in a hopeless situation is the order of the day abroad."
OPINION Professors Ronald Bartels and Wilco Peul
Dutch health care is very high on international rankings. Although the course of the pandemic suggests otherwise, the quality is particularly good, as is accessibility and efficiency. The latter means that good quality goes hand in hand with responsible use of resources.
The high quality of Dutch health care is related to a number of factors. Very important are the great motivation and the high level of education of the people who work in healthcare.
All treatments that are possible can be carried out in the Netherlands. However, there is a restriction: the treatment must have scientifically demonstrated its added value. Scientific support is essential in Dutch health care. This applies to any therapy that is used, but also to the indication for which it is used.
On the basis of scientific research, for example, an operation for back pain without a clearly defined cause is not performed in the Netherlands. This is different in neighboring countries. Recent international literature confirms our Dutch policy on the treatment of back pain without a demonstrable cause.
However, people with back pain can be at their wits' end. Their whole life is dominated by back pain. They are willing to believe any therapist who creates good expectations. If necessary, they travel abroad.
Standing like a house.
A similar condition has been current for a number of years. It's called CCI / AAI, where instability should be present in the joint connecting the skull to the neck. The presence of instability in this joint or the joint between the first and second cervical vertebrae in various conditions is well known. This operation takes place in different hospitals.
The consequences for the patient are enormous. Fastening the head to the neck means no longer being able to look forward or turn the head properly. The indication for this type of mutilating intervention must be solid. The patient must know what the limitations are afterwards. This is only possible if we speak from experience that is based on scientific substantiation.
Now it appears that a new indication has emerged for this drastic operation. Patients with complaints such as neck pain, headache, tingling, hypersensitivity to loud sounds and light, loss of concentration, shaking muscles, blurred vision, which cannot be explained by consulted doctors, undergo an MRI. This would show increased mobility. It is remarkable that this is not seen by Dutch experts and an operative treatment is not offered either, because everything falls within normal limits. Only in Barcelona is there a surgeon who does operate for this indication at a multiple of the price that this treatment would cost in the Netherlands. Crowdfunding is sometimes necessary.
Unacceptable
This is an unacceptable situation that must be stopped. People in desperate situations, even children, are being exploited and made false promises. The operation creates a new handicap. We do not claim to have the right to wisdom, but then let's find out together the value of the alleged hypermobility and find a solution to the complaints of these people.
Ronald Bartels (right) is professor of neurosurgery Nijmegen, Radboudumc & CWZ;
Wilco Peul is professor of neurosurgery Leiden-The Hague, LUMC, HMC & HAGA
I would not know if this causes me any restrictions, as i do not know otherwise. Maybe head extension is restricted. 
