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The outcome measures were the Visual Analog Scale (VAS), Japanese Orthopaedic Association (JOA) score, Oswestry Disability Index (ODI), serum inflammatory factor expression, adverse surgical events, duration of postoperative hospitalization, and modified MacNab criteria

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37,38 Patients with metabolic or endocrine conditions such as diabetes mellitus, parathyroid disease, and chronic kidney disease were excluded by 70% of trials

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