Table 3. Comparative Studies According to Surgical Approach for Treatment.
| Study | Group (number) | Conclusion (favored procedure) | Rationale of conclusion |
|---|---|---|---|
| Pieters et al. (2019)17) | Decompression only (907), decompression & fusion (8,699) | Decompression | Fewer adverse events |
| Low risk of unplanned return to surgery | |||
| Ikuta et al. (2008)18) | Microendoscopic posterior decompression (37) | Microendoscopic posterior decompression | No need of secondary fusion |
| Chen et al. (2018)19) | Decompression alone (7,878), decompression with fusion (70,116) | Decompression | Shorter operation time |
| Less intraoperative blood loss | |||
| Shorter hospital day | |||
| Ghogawala et al. | Laminectomy alone (35), laminectomy plus fusion (31) | Laminectomy plus fusion | Clinically meaningful improvement in overall physical health-related quality of life |
| Rampersaud et al. (2014)21) | Decompression alone (46), decompression with fusion (113) | Both of them | No significant difference in SF-36, minimal clinically important difference, substantial clinical benefit |
| Austevoll et al. (2017)22) | Decompression alone (260), decompression with fusion (260) | Both of them | ODI was not significantly different. |
| Hayashi et al. (2018)23) | Microendoscopic laminectomy (30), posterior lumbar interbody fusion with cortical bone trajectory (20) | Both of them | No significant difference in clinical outcomes, complications, reoperation rates |
| Yagi et al. (2018)24) | Decompression alone (59), decompression with fusion (40) | Both of them | Both methods were cost-effective. |
SF-36: 36-item short form health survey, ODI: Oswestry disability index.