A recent systematic review and meta-analysis reported a clear trend of reduced early postoperative back pain with endoscopic versus microscopic decompression ( Chin et al., 2024 ).
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Improvement in low back pain following endoscopic decompression for spinal stenosis.
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However, patients with postoperative SVA<40 mm showed a positive trend toward reaching MCID, suggesting a role of global sagittal balance in improving low back pain outcomes.