Letter to the Editor: Beyond the dichotomy: Integrating precision rehabilitation, patient-centered goals, and nursing leadership in lumbar spinal stenosis care

Figure 1 The precision care ecosystem for lumbar spinal stenosis. This diagram illustrates a dynamic, nurse-coordinated care model for lumbar spinal stenosis. Central hub: Nursing-led coordination, integrating patient data to direct care. Inner ring: Precision assessment of clinical phenotypes, patient goals (patient-related outcome measures), and biopsychosocial factors. Outer pathway: A stepped-care intervention, starting with supervised physical therapy. Based on continuous assessment, care is either maintained or escalated to surgical decompression, followed by mandatory structured rehabilitation that feeds back into the system. Core principle: The model is patient-centered and forms a closed loop, ensuring continuity of care and prioritizing conservative management.