Degenerative lumbar spinal stenosis
Conditions
Interventions
Coaxial spine endoscopy (Endo-LOVE) group:Treatment of DLSS by coaxial spinal endoscopy
Unilateral biportal endoscopy(UBE) group:Treatment of DLSS by unilateral biportal endoscopy
Single channel biaxial endoscopy(OSE) group:Treatment of DLSS by Single channel biaxial endoscopy
Single-channel coaxial combined biaxial Hybrid endoscopy (HE) group:Treatment of DLSS by Single-channel coaxial combined biaxial Hybrid endoscopy
Sponsors
The Sixth Medical Center of PLA General Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 85 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: ?lumbago accompanied by lower limb pain, numbness, weakness or heaviness, aggravated during walking and relieved at rest, intermittent clording, poor effect of conservative treatment for more than 3 months or recurrent symptoms. ?There was no obvious spondylolisthesis under X-ray radiographs of the lumbar spine. The MRI showed spinal canal stenosis with or without lumbar disc herniation, dural sac and nerve were obviously compressed, The CT showed facet joints and ligamentum flandum hyperplasia with or without disc herniation, and spinal canal was significantly narrowed. ?The clinical findings were consistent with the imaging changes, which were consistent with the diagnosis of lumbar spinal stenosis. The Oswestry disability index (ODI) were significantly affected 30%. ?The strong compliance, voluntary signing of relevant informed consent.
Exclusion criteria
Exclusion criteria: Exclusion criteria: ?Patients with severe underlying diseases, such as heart failure, acute exacerbation of chronic obstructive pulmonary disease, malignant tumor, receiving anticoagulant therapy or coagulation mechanism disorder. ?Patients with psychosis or other cognitive disorders, affecting the functional evaluation. ?Incomplete data or less than 6 months of follow-up. ?Previous history of lumbar surgery, pathological fracture, tumor, infection of the lumbar spine at the lesion site. ?Patients with infection or space-occupying lesions. ?Pregnant and lactating women, poor compliance and can not actively function exercise.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Japanese orthopaedic association scores, JOA;Visual analogue scale /score,VAS;Oswestry Dability index,ODI; | — |
Countries
China
Contacts
Public ContactDING Yu
The Sixth Medical Center of PLA General Hospital
Outcome results
None listed