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368, < 0.01) and age (r = 0.412, = 0.026). The recovery rate of the spinal cord function was negatively correlated with the operation time of circular decompression (r = -0.325, = 0.041) and the amount of intraoperative blood loss (r = -0.555, = 0.028). The use of piezosurgery can safely and effectively complete one-stage simple posterior TOPLL with 360-degree circular decompression. The incidence of complications is not high, and a good outcome can be obtained. The use of piezosurgery can safely and effectively complete one-stage simp