Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Comparison of full-endoscopic and tubular-based microscopic decompression in patients with lumbar spinal stenosis: a randomized controlled trial.
Trial report in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical interventions for degenerative lumbar spinal stenosis: a systematic review with network meta-analysis.BMC medicine · 2024Pooled it
- Lumbar approaches and procedures for spinal stenosis (Neurocore-LAPS): an international survey of decompression strategies across disease extent.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Comparison of Clinical Outcomes and Biochemical Markers Following Tubular Microscopic Discectomy Versus Full Endoscopic Discectomy for Lumbar Disc Herniation: A Prospective Randomized Controlled Trial.Global spine journal · 2026Article
- Clinical and Functional Outcomes of Delta Large-Channel Endoscopic Lumbar Decompression: A Systematic Review and Meta-Analysis.Brain sciences · 2026Review
- Enhancing Precision in Lumbar Spine Surgery Through Spinal Endoscopy: A Narrative Review with Expert Opinion.Journal of personalized medicine · 2026Review
- Review
- Endoscopic management of a duplicate nerve root-case report and technique.Journal of spine surgery (Hong Kong) · 2026Article
- Full-endoscopic Laminotomy Is Effective for Lumbar Spinal Stenosis with Low-grade Spondylolisthesis: A Comparative Cohort Study.Neurologia medico-chirurgica · 2026Article
- Endoscopic Spine Surgery: A Scoping Review of the Literature.Global spine journal · 2026Review
- Complication assessment in full-endoscopic uniportal lumbar spine surgery: A prospective analysis from 304 patients.Brain & spine · 2026Article
- Arthroscopic-assisted uniportal spinal surgery for the treatment of rare T10/T11 thoracic disc herniation: a case report.Frontiers in surgery · 2026Article
- Article
- Improvement in low back pain following endoscopic decompression for spinal stenosis.Brain & spine · 2026Article
- Stable low-grade degenerative spondylolisthesis does not adversely affect clinical outcome of full-endoscopic decompression in patients with spinal stenosis.Brain & spine · 2026Article
- Article
- Review
- Mounting the learning curve in unilateral biportal endoscopic lumbar decompression in an Asian population: experience of a single surgeon's first 105 consecutive cases with early functional outcomes.Journal of spine surgery (Hong Kong) · 2025Article
- Full-Endoscopic Spine Surgery : Its Roles and Limitations.Journal of Korean Neurosurgical Society · 2025Article
- Comparison of endoscopic and non-endoscopic lumbar decompression outcomes using ACS-NSQIP database 2017-2022.Journal of spine surgery (Hong Kong) · 2025Article
- Classification of endoscopic spine procedures.North American Spine Society journal · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed to demonstrate non-inferiority in terms of functional outcomes in patients with lumbar spinal stenosis who underwent full-endoscopic decompression compared with tubular-based microscopic decompression.
methodsThis prospective, randomized controlled, non-inferiority trial included 60 patients with single-level lumbar spinal stenosis who required decompression surgery. The patients were randomly assigned in a 1:1 ratio to the full-endoscopic group (FE group) or the tubular-based microscopic group (TM group). Based on intention-to-treat analysis, the primary outcome was the Oswestry Disability Index score at 24 months postoperative. The secondary outcomes included the visual analog scale (VAS) score for back and leg pain, European Quality of Life-5 Dimensions (EQ-5D) score, walking time, and patient satisfaction rate according to the modified MacNab criteria. Surgery-related outcomes were also analyzed.
resultsOf the total patients, 92% (n = 55) completed a 24-month follow-up. The primary outcomes were comparable between the two groups (p = 0.748). However, the FE group showed a statistically significant improvement in the mean VAS score for back pain at day 1 and at 6, 12, and 24 months after surgery (p < 0.05). No significant difference was observed in the VAS score for leg pain, EQ-5D score, or walking time (p > 0.05). Regarding the modified MacNab criteria, 86.7% of patients in the FE group and 83.3% in the TM group had excellent or good results at 24 months after surgery (p = 0.261). Despite the similar results in surgery-related outcomes, including operative time, radiation exposure, revision rate, and complication rate, between the two groups (p > 0.05), less blood loss and shorter length of hospital stay were observed in the FE group (p ≤ 0.001 and 0.011, respectively).
conclusionThis study suggests that full-endoscopic decompression is an alternative treatment for patients with lumbar spinal stenosis because it provides non-inferior clinical efficacy and safety compared with tubular-based microscopic surgery. In addition, it offers advantages in terms of less invasive surgery. Trial registration number (TRN): TCTR20191217001.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.