{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T18:15:12Z","timestamp":1793297712176,"version":"4.5.0"},"reference-count":53,"publisher":"The Korean Spinal Neurosurgery Society","issue":"4","license":[{"start":{"date-parts":[[2022,12,31]],"date-time":"2022-12-31T00:00:00Z","timestamp":1672444800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["Neurospine"],"published-print":{"date-parts":[[2022,12,31]]},"abstract":"<jats:p>Objective: This meta-analysis with statistical power analysis aimed to evaluate the difference between full-endoscopic and microscopic spinal decompression in treating spinal stenosis.Methods: We searched PubMed, Embase, CENTRAL (Cochrane Central Register of Controlled Trials), and CNKI (China National Knowledge Infrastructure) for relevant randomized controlled trials (RCTs) regarding the comparison of full-endoscopic versus microscopic spinal decompression in treating lumbar spinal stenosis through February 28, 2022. Two independent investigators selected studies, extracted information, and appraised methodological quality. Meta-analysis was conducted using RevMan 5.4 and STATA 14.0, and statistical power analysis was performed using G*Power 3.1.Results: Six RCTs involving 646 patients met selection criteria. Meta-analysis suggested that, compared with microscopic decompression, full-endoscopic spinal decompression achieved more leg pain improvement (mean difference [MD], -0.20; 95% confidence interval [CI], -0.30 to -0.10; p = 0.001), shortened operative time (MD, -12.71; 95% CI, -18.27 to -7.15; p &lt; 0.001), and decreased the incidence of complications (risk ratio, 0.43; 95% CI, 0.22\u20130.82; p = 0.01), which was supported by a statistical power of 98.57%, 99.97%, and 81.88%, respectively.Conclusion: Full-endoscopic spinal decompression is a better treatment for lumbar spinal stenosis, showing more effective leg pain improvement, shorter operative time, and fewer complications than microscopic decompression.<\/jats:p>","DOI":"10.14245\/ns.2244600.300","type":"journal-article","created":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T22:56:47Z","timestamp":1672613807000},"page":"996-1005","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Comparative Effects and Safety of Full-Endoscopic Versus Microscopic Spinal Decompression for Lumbar Spinal Stenosis: A Meta-Analysis and Statistical Power Analysis of 6 Randomized Controlled Trials"],"prefix":"10.14245","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3842-2511","authenticated-orcid":true,"given":"Zechuan","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5426-3971","authenticated-orcid":true,"given":"Huan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6572-0269","authenticated-orcid":true,"given":"Wenkai","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4813-0069","authenticated-orcid":true,"given":"Weihua","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5355","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05543-y"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2015.9.5.818"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd012421"},{"key":"ref4","first-page":"143","volume-title":"Two-year comprehensive medical management of degenerative lumbar spine disease (lumbar spondylolisthesis, stenosis, or disc herniation): a value analysis of cost, pain, disability, and quality of life: clinical article","author":"Parker","year":"2014"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2453503"},{"key":"ref6","first-page":"613","volume-title":"Degenerative lumbar spinal stenosis in older people: current treatment options","author":"Kalff","year":"2013"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.338"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e31819c0a6b"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.69.11.909"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-989394"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2009.90"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa0707136"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.07.032"},{"key":"ref14","first-page":"1424","volume-title":"Lumbar spinal stenosis: conservative or surgical management?: a prospective 10-year study","author":"Amundsen","year":"2000"},{"key":"ref15","first-page":"E78","volume-title":"Is there an association between radiological severity of lumbar spinal stenosis and disability, pain, or surgical outcome? 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