Is Minimally Invasive Spinal Surgery (MISS) Superior to Endoscopic Spine Surgery in Post-operative Radiological Outcome for Lumbar Spine Degenerative Disease? A Systematic Review.

Compared to MISS, ESS was associated with improved radiological parameters, including spinal canal area and neural foraminal area in the lumbar spinal segments. Both techniques led to the same endpoint of neural decompression when starting with more severe compression. However, the present data does not allow the correlation of the radiographic results with the related clinical outcomes.