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Indirect Lumbar Decompression Combined With or Without Additional Direct Posterior Decompression: A Systematic Review.

Global Spine J · 2022 · PMC9344527 · PMID 34011192

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a notable trendno p-value reported
In addition, there was a notable trend toward a greater decrease in ODI with isolated indirect decompression and greater improvement in lumbar lordosis with additional direct posterior decompression.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.