Is endoscopic spinal surgery better than microscopic surgery for lumbar spinal stenosis?
South Korea: A new study published in Global Spine Journal suggests that although endoscopic spinal surgery (ESS) resulted in a shorter hospital stay, there were no substantial differences in safety and effectiveness between endoscopic spinal surgery and microscopic spinal surgery (MSS).
As alternatives to traditional surgery, many minimally invasive surgical methods have been created. Endoscopic spinal surgery (biportal ESS [BESS] or uniportal ESS [UESS]) is more beneficial than microscopic spinal surgery, according to current research. Kyu-Bok Kang and colleagues conducted this systematic review and meta-analysis to analyze the most recent data on the use of ESS versus MSS in lumbar spinal stenosis.
A comprehensive electronic search was conducted till December 2019 using Embase, PubMed, Cochrane Central Database, and Korea Med to locate papers that compared ESS with MSS in individuals with lumbar spinal stenosis.
The key findings of this study were as follows:
1. Three controlled randomized trials, six retrospective cohorts, and two prospective case-control studies yielded a total of 1167 participants.
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