lumbar degenerative disease
Conditions
Interventions
ultrasound-assisted group:the combination of ultrasound guidance and fluoroscopy guidance is used in percutaneous pedicle screw placement
fluoroscopic group:fluoroscopy guidance is used in percutaneous pedicle screw placement
Sponsors
Shengjing Hospital of China Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Aged >18 years and <85 years; 2. Chronic low back pain or lower limb neurological symptoms failed after 6 months of conservative treatment; 3. Single-level or double-level lumbar degenerative diseases (including lumbar spinal stenosis, lumbar instability, lumbar disc herniation and degenerative lumbar spondylolisthesis); 4. Informed consent to the study content, voluntary participation in the study and cooperation in follow-up work.
Exclusion criteria
Exclusion criteria: 1. Severe spinal deformity; 2. Pedicle dysplasia or severe sclerosis of the pedicle; 3. Severe osteoporosis; 4. BMI > 32kg/m^2; 5. Lumbar spondylolisthesis with Meyerding grade greater than 2 degrees; 6. Lumbar tumors or infectious diseases; 7. Surgical history of target or adjacent segments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| nail setting fluoroscopy time;radiation dose of screw insertion;exposure times of screw placement; | — |
Secondary
| Measure | Time frame |
|---|---|
| Oswestry disability index;insertion time of guidewire;rate of pedicle perforation;rate of facet joint violation;visual analogue scale (VAS) for back pain;complications; | — |
Countries
China
Contacts
Public ContactLiu Da
Shengjing Hospital of China Medical University
Outcome results
None listed