systematic.He stated that he had retrieved 83 works, and after screening the abstract, he had retained 73 articles.Nonetheless, he does not mention his inclusion and exclusion criteria.We also realize that his research did not provide information about the languages or the time period included in the analysis; also, only one database (Medline) was examined.Therefore, some differences can be found between his and our research, considering the exhaustive analysis performed in our paper.Although Dr Beucler did perform a simple statistical analysis of the functional outcomes; again, it has little statistical significance due to the heterogeneity of the reported data.Thus, our analysis centered on the CSS surgical anatomy is more relevant.We believe that our research, as well as Dr Nathan Beucler's insights on the topic, could open a path for new investigation regarding CSS in other areas, such as treatment options and functional outcomes of patients with this syndrome.