John K. Hong, M.D. | 10/26/2026 If you have persistent back pain, sciatica, or spinal stenosis, you may have heard terms such as decompression, discectomy, fusion, and endoscopic spine surgery. Understanding what these procedures do—and how they differ—can help you make an informed decision about treatment. One distinction is especially helpful: decompression and fusion describe the goal of surgery, while open, microscopic, and endoscopic describe how the surgeon performs i

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