Lumbar Spinal Stenosis
Conditions
Interventions
uniportal endoscopic decompression group:achieve lumbar canal decompression by use of uniportal endoscopic spine surgery technic
biportal endoscopic decompression group:achieve decompression by use of biportal endoscopic spine surgery technic
Sponsors
Beijing Friendship Hospital
Eligibility
Sex/Gender
All
Age
50 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Aged 50–80 years; 2. Patients with persistent neurogenic claudication who do not respond to conservative treatment for over 3 months; 3. Lumbr spinal stenosis with one or two-level pathology with or without degenerative spondylolisthesis <=1 degree; 4. Absence of significant instability; 5. Able to provide informed consent and willing to participate and to comply with our proposed follow-up protocol.
Exclusion criteria
Exclusion criteria: 1. Spondylolisthesis (Meyer grade >= II); 2. Segmental instability (anterior translation [>3 mm] and/or increasing segmental sagittal motion [>15°] ) on plain standing radiographs; 3. A history of lumbar spinal surgery at the same level; 4. Advanced degenerative lumbar scoliosis (Cobb angle > 20°); 5. Other spinal diseases (e.g., ankylosing spondylitis, spine tumor, fracture, or neurologic disorders); 6. Psychological disorders (e.g. dementia, intellectual disability, or drug abuse).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Bony decompression range;The expansion of the thecal sac;erythrocyte sedimentation rate (ESR);creatine kinase (CK);Visual Analog Score for back pain;Visual Analog Score for leg pain;Japanese Orthopaedic Association Score;Study 36-Item Short Form Health Survey Score;Surgical complication;Modified MacNab score;Operation time;Blood loss;Postoperative hospital stays;Age;Gender;Body mass index (BMI);Medical comorbidity;Smoking status;Alcohol status;Symptoms duration;Physical examination finding; Previous spinal surgery;Affected level;Stenosis grade; | — |
Countries
China
Contacts
Public ContactLi Xiang
Beijing Friendship Hospital
Outcome results
None listed