Lumbar disc herniation
Conditions
Interventions
Experimental group:Microchannel microscopic discectomy via paravertebral approach
Control group:Spinal endoscopic discectomy via interforaminal approach
Sponsors
Union Hospital Affiliated to Fujian Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18-70 years; 2. There are obvious symptoms of back and leg pain, which are ineffective after conservative treatment for more than 3 months; 3. The affected side straight leg elevation test is less than 50 degrees; 4. MRI and CT confirmed that L3/4, L4/5 or L5/S1 posterolateral lumbar intervertebral disc herniation in all patients, and the location of herniation was consistent with the corresponding neurological symptoms; 5. Lumbar radiographs (anteroposterior and lateral, double oblique, hyperextension and hyperflexion) showed no segmental lumbar instability; 6. Informed consent of patients.
Exclusion criteria
Exclusion criteria: 1. Pregnant or lactating patients, screening for ß-HCG is high; 2. Patients with a history of surgery in lumbar vertebrae; 3. Cauda equina syndrome; 4. Spondylolisthesis or degenerative spondylolisthesis; 5. Central-type and lateral recessed spinal stenosis; 6. Patients who cannot follow the follow-up required by the protocol, or who are considered by the investigator to be at increased risk of participating in the study; 7. Unable to provide written informed consent, or unable to follow the test protocol; 8. The expected survival time is less than 1 year; 9. Immigrants or those with language and communication disabilities who plan to migrate within one year; 10. Other serious physical or mental diseases that are not suitable for surgery; 11. Patients in other clinical trials; 12. Patients with rheumatic immune diseases that may cause similar symptoms; 13. MRI, CT enhancement and other special examinations are not suitable.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oswestry disable index; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analogue scale;Japanese orthopaedic association low back pain score; | — |
Countries
China
Contacts
Public ContactZhang Qiusheng
Shenzhen Second People's Hospital
Outcome results
None listed