
CLINICAL EVIDENCE
Science-driven innovation
Quality scientific research proves what works in endoscopic spine surgery through objective data and clinical transparency.
FEATURED PUBLICATION
No Anatomical Improvement with MILD Procedure
The MILD procedure did not produce anatomical decompression or SedSign reversal on MRI, whereas open decompression reliably achieved both. Secondary anatomical changes, such as scar tissue and muscle signal alterations, were observed only in theopen surgery group. These findings suggest that while MILD is tissue-sparing, it may be insufficient for achieving anatomical goals in patients with central LSS.

Chin KR, Pencle FJR, Seale JA, Pencle FK.
Pain relief
Patients undergoing decompression experienced a ~68% reduction in pain scores (VAS).
Functional improvement
Disability scores (ODI) improved by ~44% following decompression.

Chin KR, Michener TA. J
Pain relief
Patients undergoing microdiscectomy experienced a ~96% reduction in leg pain (VAS), with scores improving from 8.0 to 0.3, reflecting near-complete symptom resolution.
High success rate
96% of patients achieved complete resolution of radicular leg pain following the procedure.
The clinical comparison of microendoscopic lumbar diskectomy with and without preservation of the ligamentum flavum
Zhonghua Wai Ke Za Zhi . 2005 Oct 15;43(20):1321-4.
Yue Zhou 1, Jian Wang, Tong-wei Chu, Wei-dong Wang, Wen-jie Zheng, Yong Hao, Yong Pan, Hai-jun Teng
Pending Publication
technical note & case illustrations
Kingsley R. Chin MD, Julian Cameron MD, Sandra Thompson MD, Jonathan Daitch MD, Keith Javery MD, Sachin Narain MD, Vito Lore PE, Erik Spayde MD, Hope Estevez HS, Sukanya Chebrolu MS, Jason A. Seale MBBS
Technical Note
Kingsley R. Chin MD, Julian Cameron MD, Sandra Thompson MD, Jonathan Daitch MD, Keith Javery MD, Sachin Narain MD, Vito Lore PE, Erik Spayde MD, Hope Estevez HS, Sukanya Chebrolu MS, Jason A. Seale MBBS
Technical Note
The Superior Articular Process–Endplate Relationship as a Fluoroscopic Guide for Extraforaminal Endoscopic Lumbar Decompression for Central, Foraminal and Extraforaminal Disc Access: A Cadaveric Feasibility Study
Kingsley R. Chin MD, Julian Cameron MD, Sandra Thompson MD, Jonathan Daitch MD, Keith Javery MD, Sachin Narain MD, Vito Lore PE, Erik Spayde MD, Hope Estevez HS, Sukanya Chebrolu MS, Jason A. Seale MBBS

