biostudies-literatureUnknown16(1)Kartal AMinimally invasive (MI) tubular decompression seeks to reduce soft‑tissue trauma compared with open laminectomy for lumbar spinal stenosis (LSS). We performed a PRISMA‑compliant systematic review and meta‑analysis of comparative studies (2015-April 2025) identified in PubMed, Embase, and CENTRAL. Adults with symptomatic degenerative LSS undergoing MI tubular decompression or open laminectomy were included. Evaluated outcomes included surgical parameters (e.g., overall complications; dural tears, surgical site infections, reoperation), perioperative and postoperative complications, patient-reported outcome measures (PROMs), and hospital length of stay (LOS). Heterogeneity was measured using I². Random-effects models were primary; PROMs were also analyzed in a common-effect sensitScientific reports176https://www.ebi.ac.uk/biostudies/studies/S-EPMC12764488biostudies-literatureMinimally invasive tubular decompression versus traditional open surgery for lumbar spinal stenosis: a systematic review and meta-analysis.PMC12764488Hartl RHamad MKManalil NFWang EHussain IKartal AParacha SRobayo AfalseMinimally invasive tubular decompression versus traditional open surgery for lumbar spinal stenosis: a systematic review and meta-analysis.Minimally invasive (MI) tubular decompression seeks to reduce soft‑tissue trauma compared with open laminectomy for lumbar spinal stenosis (LSS). We performed a PRISMA‑compliant systematic review and meta‑analysis of comparative studies (2015-April 2025) identified in PubMed, Embase, and CENTRAL. Adults with symptomatic degenerative LSS undergoing MI tubular decompression or open laminectomy were included. Evaluated outcomes included surgical parameters (e.g., overall complications; dural tears, surgical site infections, reoperation), perioperative and postoperative complications, patient-reported outcome measures (PROMs), and hospital length of stay (LOS). Heterogeneity was measured using I². Random-effects models were primary; PROMs were also analyzed in a common-effect sensit2025-01-01T00:00:00Z2025 Dec2026-06-06T10:25:27.12Z2026-05-29T03:11:24.658ZS-EPMC127644884135474210.1038/s41598-025-28949-9