Lumbar disc herniation
Conditions
Interventions
UBE group:Performing UBE surgery to treat lumbar disc herniation
PTED group:Performing PTED surgery to treat lumbar disc herniation
Sponsors
The Second Affiliated Hospital of Anhui Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Age 18-70 years 2. Patients with radicular pain in the lower extremities (visual analog scale score =4) with or without low back pain, and confirmed by MRI to have a single-segment lumbar disc herniation at L3-L4, L4-L5, or L5-S1. 3. These signs include evidence of nerve root compression, manifested as positive nerve root tension signs (straight leg raise test or femoral tension sign) or corresponding signs of neurological deficits (asymmetric diminished tendon reflexes, sensory impairment in dermatome distribution areas, or weakness in myomesa distribution areas). 4. Imaging results showing that the segment and side of the LDH are consistent with the patient's radicular signs or symptoms. 5. Signed informed consent form, able to accurately read and understand it, or able to read and understand the informed consent form and follow-up questionnaire with family members present. 6. Able to and agree to fully comply with the clinical protocol and willing to adhere to the follow-up schedule and requirements.
Exclusion criteria
Exclusion criteria: 1. Under 18 years of age or over 70 years of age 2. Ineffective conservative treatment 3. Cauda equina syndrome or progressive neurological deficits requiring urgent surgical intervention 4. Inability to undergo baseline and/or follow-up MRI or X-ray examinations as required 5. LDH combined with other spinal conditions requiring advanced surgery (e.g., lumbar spinal stenosis, spondylolisthesis, deformity, fracture, infection, tumor, etc.) 6. Other spinal conditions (e.g., spinal infection, ankylosing spondylitis, other inflammatory spondylitis, spinal tumor, spinal trauma) 7. >= 2 responsible segments; high-grade free disc herniation 8. Presence or history of any other neurological or vascular disease of the leg that may interfere with the study evaluation 9. Cognitive and psychological disorders (e.g., Alzheimer's disease, intellectual disability, or substance abuse) 10. Other conditions deemed unsuitable for participation in the study by the surgeon
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oswestry Disable Index;VAS score;Medical Outcomes Study 36-Item Short-Form Health Survey;EuroQol Five-Dimensions ;Height of lumbar discs; | — |
Countries
China
Contacts
Public ContactDasheng Tian
The Second Affiliated Hospital of Anhui Medical University
Outcome results
None listed