ArticleBrain & spine2026
Stable low-grade degenerative spondylolisthesis does not adversely affect clinical outcome of full-endoscopic decompression in patients with spinal stenosis.
Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
- Endoscopic decompression alone for lumbar spinal stenosis with degenerative spondylolisthesis: a systematic review and meta-analysis of paired change scores.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 · 2026Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and objectives: The optimal surgical management of lumbar spinal stenosis (LSS) in the presence of stable low-grade degenerative spondylolisthesis remains a subject of ongoing debate. This study aimed to evaluate the clinical outcomes and radiological stability of Lumbar full-endoscopic unilateral laminotomy with bilateral decompression (LE-ULBD) in this patient population. Specifically, we sought to determine whether this minimally invasive approach compromises spinal stability or leads to progression of spondylolisthesis over time. Materials and methods: A total of 36 patients diagnosed with LSS and grade I degenerative spondylolisthesis who underwent LE-ULBD at the Minimally Invasive Spine Center between February 2019 and December 2023 were retrospectively reviewed. All patients completed at least 12 months of follow-up. Clinical outcomes were assessed preoperatively, at 12 months, and at the final follow-up using the visual analog scale for back pain (VAS back), visual analog scale for leg pain (VAS leg), and Oswestry Disability Index (ODI). Radiological evaluations included canal cross-sectional area (CSA), lumbar lordosis (LL), segmental lumbar lordosis (SLL), sagittal vertical axis (SVA), slip percentage (Slip%), pelvic tilt (PT), and other sagittal alignment parameters. Results: All clinical outcome measures demonstrated statistically significant improvement from baseline at both 12 months and final follow-up (p < 0.001 for all comparisons). Pain scores and functional disability were markedly reduced, indicating sustained clinical benefit of the procedure. Notably, the canal cross-sectional area (CSA) significantly increased at final follow-up (from 51.49 ± 28.41 mm Conclusion: LE-ULBD appears to be a safe and effective option for carefully selected patients with stable grade I degenerative spondylolisthesis, providing durable symptom relief without compromising spinal stability. Future prospective studies with larger cohorts and extended follow-up are warranted to further substantiate these findings.
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