Discogenic Low Back Pain
Conditions
Interventions
Conservative Therapy Group:NA
Lumbar Interbody Fusion Group:NA
Intradiscal Plasma Ablation Group:NA
Sinuvertebral Nerve Injection Group:NA
Percutaneous endoscopic SVN Radiofrequency Ablation Group:NA
Percutaneous Endoscopic Lumbar Discectomy Group:NA
Percutaneous Endoscopic Lumbar Discectomy + SVN Radiofrequency Ablation Group:NA
Sponsors
Department of Spine Surgery II, The Third Affiliated Hospital of Southern Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Patients between 18 to 60 years old with low back pain lasting more than 6 months at the time of admission, diagnosed with the symptoms of low back pain with or without leg pain. Lumbar magnetic resonance scanning shows one or more disks degeneration (Reductive signal of the disk in T2 stage image) but without significantly herniation/protrusion (less than 50% of the spinal canal sagittal diameters), with or without high intensity zone in the posterior margin of the disk. Positive result of diagnostic lumbar sinuvertebral block is also needed but not necessary.
Exclusion criteria
Exclusion criteria: (1)History of lumbar trauma or surgery. (2)Radiological evidence of nerve root compression or excessive displacement of the vertebral body segment. (3)Facet joint degeneration (2 or more of the Weishaupt grade). (4)Paravertebral muscle degeneration (3 or more of the Goutallier grade). (5)Pathological change of the spine such as severe osteoporosis, vertebral compression fracture, tumor, or infection. (6)Vital condition is not good enough to bear the treatments. (7)Patients combine with mental illness or other cognitive impairment that affect functional evaluation. (8)Patients combine with chronic skin diseases, such ulcers, wounds, scars in the waist area.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lumbar NRS;Lumar ODI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life;Patients' Satisfaction Degree;Return to Work/Normal Life Time;Medical Expenses;Disk Degeneration Degree; | — |
Countries
China
Contacts
Public ContactQingchu Li
The Third Affiliated Hospital of Southern Medical University
Outcome results
None listed