Lumbar spinal stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clear diagnosis of lumbar spinal stenosis; 2. Clinical symptoms include intermittent claudication, leg pain or numbness, consistent with CT and MRI features; 3. Non-surgical treatment >= 3 months with no significant symptom relief or progressive worsening; 4. Meets the indications for UBE technique and surgical treatment; 5. Suitable anatomical structure: no severe variation in local lumbar anatomy, appropriate for UBE surgical operation; 6. Able to tolerate general anesthesia or epidural anesthesia and minimally invasive surgical procedures; 7. Signed informed consent: patients and family fully understand the surgical plan, risks, and the content of this study, voluntarily sign the informed consent, and are willing to cooperate with postoperative follow-up; 8. Single-segment surgery; 9. Patients with follow-up time greater than 6 months and complete data.
Exclusion criteria
Exclusion criteria: 1. Surgical contraindications: Presence of severe coagulation disorders, active infections, malignant tumors, or severe cardiopulmonary dysfunction (such as NYHA heart function class = III), and other systemic surgical contraindications; 2. Spinal structural abnormalities: Presence of severe scoliosis, lumbar spondylolisthesis (grade II or above), or spinal fractures requiring open reduction; 3. Previous surgical history: History of open surgery or internal fixation implantation in the same lumbar segment (which may affect navigation positioning or UBE operation); 4. Coexisting spinal diseases: Presence of lumbar disc herniation with nucleus pulposus extrusion, spinal tumors, infectious lesions, or cauda equina syndrome requiring emergency surgery; 5. Insufficient mental or compliance capacity: Presence of mental illness, cognitive dysfunction, or inability to cooperate with postoperative follow-up; 6. Other exclusion factors: Concurrent participation in other clinical trials that may interfere with the results of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Extent and Volume of Skeletal Structure Resection; | — |
Secondary
| Measure | Time frame |
|---|---|
| Surgery time;Postoperative drainage volume;Number of intraoperative fluoroscopy procedures;Angle of Lateral Facet Joint Resection on the Same Side as the Spinal Vertebra;Incidence of vertebral pedicle fractures;Incidence of complications such as nerve injury rate and dural tear rate;Pain;functional impairment;Gender;Age;Body Mass Index(BMI);Segmental Distribution; | — |
Countries
China
Contacts
Yan'an University Affiliated Hospital