Systematic review reveals safe lumbar decompression techniques in experienced hands, suggesting need for further validation.
Lumbar UBE decompression appears safe and reproducible in experienced hands when standardized technical strategies are applied, but the evidence base is limited by retrospective design, heterogeneity, and concentration in high-volume centers. The proposed algorithms should be regarded as evidence-informed guidance requiring prospective validation in multicenter cohorts.
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Santander et al. (2026) studied this question.
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