Treatment of spine disease with unilateral biportal endoscopic (UBE) decompression technique and other classic surgeries Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Neurogenic symptoms induced by lumbar disk herniation 2. Computed tomography and/or magnetic resonance imaging indicating single level LDH, radiologic finding in accordance with clinical neural distribution 3. History of failed conservative treatment 4. Follow-up for at least 3 months
Exclusion criteria
Exclusion criteria: 1. Lumbar instability, spondylolisthesis or deformity 2. Tumors, infections, or other lesions 3. Surgical history involving the corresponding segment 4. Delayed treated cauda equina syndrome or other irreversible neural deficits
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perioperative data: 1. Length of operation time measured using medical records after surgery 2. Endoscopy irrigation amount measured using medical records after surgery 3. Estimated blood loss measured using medical records after surgery 4. Complications measured using video records of the endoscopy and clinical charts after surgery Clinical outcomes are assessed at the time of discharge, and at 3, 6, and 12 months and followed by once per year postoperative until the end of this study: 1. Back pain and lower leg pain measured using a visual analog scale (VAS) 2. Functional recovery measured using the Oswestry Disability Index (ODI) 3. Overall treatment outcomes measured using the modified MacNab criteria | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hemoglobulin concentration in wash out measured using spectrophotometry according to the haemoglobincyanide method after surgery 2. Amount of bone harvested measured using collecting bone debris and calculated in volume by syringe cylinder after surgery 3. Accuracy of the pedicle screw placement measured using CT scanning after surgery 4. Fusion condition measured using CT scanning at 1 year and later follow-up after surgery 5. Cross-section area in decompression segment measured using CT and MRI scanning at 3 months follow-up after surgery 6. Irrigation pressure measured using a liquid manometer from a lumbal puncture set during surgery 7. Supplement in irrigation measured using medical records after surgery | — |
Countries
China