lumbar disc herniation
Conditions
Interventions
conventional transforaminal endoscopic lumbar discectomy group:After foraminoplasty, the endoscope was put throught the working cannula, the heriation and the intradisc loosen fragement was decompress
intra-disc irrigation transforaminal endoscopic lumbar discectomy group:After foraminoplasty, the endoscope was put throught the working cannula, a 25cm-long needle was put through the channel of endo
Sponsors
Shanghai changzheng hospital
Eligibility
Sex/Gender
All
Age
16 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Male or female patients aged from 16-70 years with one-level intervertebral lumbar disc herniation; 2. Unilateral nerve root symptoms or cauda equina symptoms caused by single level L4/5 or L5/S1 disc herniation, ineffective after 6-12 weeks of conservative treatment; 3. Contained, sequestered, or prolapse disc herniation of central, para-central, or foraminal disc herniation; 4. Migrated disc herniation not exceed the lower edge of the upper pedicle or the upper edge of the lower pedicle (low-grade migrated disc herniation).
Exclusion criteria
Exclusion criteria: 1. Age <18 years or =70 years; 2. Disc herniation is an extremely lateral type or high-grade migrated type; 3. Severe spinal stenosis; 4.Cauda equina syndrome;5. Lumbar spondylolisthesis or spondylolisthesis more than 1 grade; 6. Patients with serious primary diseases of cardiovascular, liver, kidney and hematopoietic system, or mental diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the height ratio of the intervertebral disc space and the adjacent upper vertebrae;visual analogue scale (VAS) of low back pain and leg pain; | — |
Secondary
| Measure | Time frame |
|---|---|
| The degenerative classification of operative lumbar disc (Pfirrmann grades);Oswestry Disability Index (ODI) score; | — |
Countries
China
Contacts
Public ContactXiaodong Wu
Shanghai changzheng hospital
Outcome results
None listed