Lumbar disc herniation (LDH)
Conditions
Interventions
FG-TELD group:Fluoroscopy-Guided Transforaminal Endoscopic Lumbar Discectomy (FG-TELD)
UG-TELD group:Ultrasound-Guided Transforaminal Endoscopic Lumbar Discectomy (UG-TELD)
Sponsors
Zibo Frist Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult patients between the ages of 18 and 75 years; 2. Single-level lumbar disc herniation (LDH) confirmed by imaging; 3. Conservative treatment is ineffective, and symptoms persist for more than 6 weeks; (1) such as physical therapy; (2) drug treatment; 4. Obvious nerve root symptoms; (1) Radiating pain in the lower extremities; (2) Numbness; (3) muscle weakness; 5. Able to understand and sign the informed consent form before surgery, and willing to participate in this study; 6. No serious comorbidities or other pathological conditions affecting surgery; (1) For example, infection; (2) tumors; (3) Spinal deformity, etc.; 7. Preoperative imaging examination did not reveal severe spinal instability or other lesions requiring surgical intervention.
Exclusion criteria
Exclusion criteria: 1.Age 75 years; 2.non-confirmation of single-level LDH via imaging; 3.Prior surgical/invasive interventions (e.g., spinal injections); 4.Ongoing conservative therapy with symptom duration <6 weeks; 5.Severe neurological deficits (e.g., motor weakness =3/5 on MRC scale); 6.inability to comprehend or unwillingness to provide consent; 7.Comorbidities precluding surgery: Systemic infections Metastatic tumors Pathological spinal fractures; 8.Spinal instability or concurrent pathology requiring additional intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional Recovery;Pain Reduction; | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life;Occupational burnout severity; | — |
Countries
China
Contacts
Public ContactChao Shang
Zibo Frist Hospital
Outcome results
None listed