Shaping spine care through endoscopy

It is our great pleasure to present this special issue of the Asian Spine Journal, dedicated to the expanding field of endoscopic spine surgery (ESS).The articles included in this issue represent a cross-section of contemporary efforts to refine techniques, evaluate outcomes, establish educational frameworks, and explore the broader clinical and societal implications of ESS.This collection of fourteen studies reflects the increasingly diverse applications of ESS.From decompression to fusion procedures, and from primary cases to revisions, the selected papers demonstrate how ESS is evolving to address a wide range of spinal pathologies across different anatomical regions and patient populations.The reported outcomes affirm the clinical feasibility and safety of these approaches, while also highlighting the importance of careful patient selection and surgical planning.Several papers in this issue focus on technique optimization-whether through innovative decompression strategies, reduced bone resection methods, or approaches that preserve spinal stability without the need for fusion.Others explore interbody fusion performed under endoscopic guidance, providing valuable data on fusion rates, complication profiles, and recovery patterns.Together, these studies contribute to a growing body of evidence supporting the role of ESS in both motion-preserving and fusion-based surgical paradigms.