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The preoperative ODI score improved from 76.4 ± 17.9 (range 32-10 to 6.74 ± 17.2 (0-6 at 16 months. The preoperative VAS score improved from 7.48 ± 1.16 (6-1 to 0.47 ± 1.94 (0-8). Surgical site infection occurred in 2 patients, and 1 patient had an intraoperative dural tear that was successfully repaired. One patient developed implant loosening at 3 months, which was managed by extended instrumentation. CONCLUSIONS To achieve stability, lamina-sparing decompression allows fixation of lower numbers of vertebrae proximal and distal