Lumbar disc herniation Musculoskeletal Diseases
Conditions
Interventions
The intervention group received a standardized nanosurgery and bioengineered therapy protocol consisting of one initial nanosurgical release followed by four stages of combined nanosurgical and regene
Sponsors
Wasilczyk Medical Clinic
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age =18 years 2. Clinical symptoms consistent with lumbar disc herniation 3. Low back pain with or without unilateral radicular pain 4. MRI-confirmed lumbar disc herniation corresponding to clinical symptoms 5. Ability to understand study procedures and comply with follow-up 6. Written informed consent provided by the participant
Exclusion criteria
Exclusion criteria: 1. Previous lumbar spine surgery at the index level 2. Urgent indication for surgical intervention, including cauda equina syndrome or progressive neurological deficit 3. Spinal infection, tumour, fracture, or inflammatory spinal disease 4. Significant spinal instability 5. Spondylolisthesis 6. Severe spinal stenosis considered the primary source of symptoms 7. Active infection 8. Coagulation disorders 9. Any contraindication to the planned procedures 10. Pregnancy 11. Inability to provide informed consent 12. Inability to comply with follow-up assessments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional disability measured using the Oswestry Disability Index at baseline and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain measured using the VAS scale at baseline and 12 months | — |
Countries
Poland
Contacts
Public ContactCezary Wasilczk
Outcome results
None listed