Spine-related low back pain
Conditions
Interventions
one:Participants will undergo both puncture trajectory planning and needle placement for the lumbar intervertebral foramen under the guidance of a three-dimensional ultrasound navigation system.
Sponsors
General Hospital of the People's Liberation Army of China
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Age 18–70 years; 2. Symptoms and signs of lumbar radiculopathy persisting for at least 6 weeks; 3. Imaging findings corresponding to lumbar disc herniation (LDH); 4. Scheduled to undergo transforaminal epidural steroid injection (ESI) or percutaneous transforaminal endoscopic discectomy (PTED); if a patient received both transforaminal ESI and PTED on the same day, only the transforaminal ESI was included in the study; 5. Patients who signed the informed consent form preoperatively.
Exclusion criteria
Exclusion criteria: 1. Other diseases affecting the spine (tumor, infection, metabolic disease, immune system disease, or fracture); 2. Body mass index (BMI) >32 kg/m²; 3. Pregnancy; 4. Refusal to participate; 5. Severe psychiatric disorders precluding cooperation during the procedure; 6. Congenital spinal deformity or history of lumbar surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First-time puncture success rate;number of punctures;Puncture time;Number of X-ray exposures;Path planning time;Angle deviation;Distance deviation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Puncture confidence score;Intraoperative and postoperative complications;ODI score and VAS score before and after the surgery;Patient's satisfaction with the surgery and the modified MacNab efficacy score; | — |
Countries
China
Contacts
Public ContactZhang Mingbo
General Hospital of the People's Liberation Army of China
Outcome results
None listed