cervical disc herniation
Conditions
Interventions
treatment goup:Low - energy Laser Decompression of Intervertebral Disc
Sponsors
The Third Xiangya Hospital of Central South University
Eligibility
Sex/Gender
All
Age
30 Years to 90 Years
Inclusion criteria
Inclusion criteria: (1) in line with the diagnostic criteria of cervical disc herniation: preoperative cervical MRI or CT showed C3-4, C4-5, C5-6, C6-7 or C7-T1 disc herniation, the clinical manifestations of one or both sides Neck and shoulders, upper limb pain or (and) numbness, or gait instability, walking a sense of cotton, etc., imaging and clinical manifestations consistent; (2) cervical MRI confirmed no serious or long-term spinal cord compression caused by spinal degeneration, softening, no intervertebral joint instability; (3) Aged 20 to 90 years old patients with disease duration of 1 to 20 years; (4) after a combination of ineffective conservative treatment or symptoms of recurrent effects of work and life; (5) Pain intensity was evaluated by NRS score scale, and the average intensity of pain was =4 points; (6) no other neurological diseases and mental illness before surgery, heart and lung function was no obvious abnormalities, liver, kidney, electrolyte function was normal, blood sugar, blood pressure control and stability. ASA I-II level, to understand, with the clinical examination and treatment of patients.
Exclusion criteria
Exclusion criteria: (1) does not meet the diagnostic criteria of cervical disc herniation patients; (2) compression of the cervical spinal cord ischemia, softening or severe spinal cord injury patients; (3) cervical disc herniation, prolapse or calcification, nucleus pulposus free patients; (4) patients with cervical spinal stenosis; (5) patients with intervertebral instability or vertebral spondylolisthesis; (6) patients with severe cervical hyperosteogeny; (7) disc calcification or posterior longitudinal ligament calcification in patients; (8) severe cardiopulmonary disease can not tolerate minimally invasive surgery in patients; (9) patients with abnormal coagulation; (10) patients with carotid plaque or carotid sinus sensitivity; (11) patients implanted with pacemakers in vivo; (12) patients with thyroid hyperthyroidism or thyroid nodules; (13) patients with anterior cervical disc anterior surgery; (14) patients with malignant tumors, mental illness and other medical history; (15) Patients who refused to undergo the surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Neurological function score;The overall evaluation of the comprehensive effect;Surgical satisfaction;Once again accept the same surgical intention;Evaluation of the degree of protrusion reduction;The degree of intervertebral disc degeneration;Number of recurrent cases; | — |
Countries
China
Contacts
Public ContactHuang Dong
The Third Xiangya Hospital of Central South University
Outcome results
None listed