Giant / Ruptured Lumbar Disc Herniation
Conditions
Interventions
Sponsors
Guangdong Second Traditional Chinese Medicine Hospital (Guangdong Provincial Research Institute of Traditional Chinese Medicine Engineering Technology)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients will be included if they meet all of the following criteria: 1) a diagnosis of lumbar disc herniation; 2) MRI findings consistent with giant (Herniation Ratio > 50% or occupying >50% of the spinal canal's sagittal diameter) or ruptured (herniated fragment >5mm beyond the posterior vertebral margin with ragged edges and disrupted posterior longitudinal ligament) disc herniation; 3) ability to fully cooperate with the clinical observation protocol; 4) age between 18 and 65 years; 5) voluntary participation with signed informed consent, complete imaging data, and a follow-up period of over 6 months; 6) completion of a washout period of at least 5 days for any prior manual or conservative therapies.
Exclusion criteria
Exclusion criteria: Exclusion criteria were as follows: 1) severe symptoms necessitating surgery; 2) severe comorbid primary diseases (e.g., involving the digestive, cardiovascular, or hematopoietic systems) or psychiatric disorders; 3) lactation or pregnancy; 4) presence of spinal fractures, tumors, or non-discogenic compression; 5) poor compliance, inability to complete follow-up or MRI, or incomplete imaging data.Presence of lumbar spondylolisthesis, spinal canal tumors, spinal fractures, infections, or severe osteoporosis. Cauda equina syndrome or other surgical emergencies such as progressive motor neurological deficits. Severe cardiovascular or cerebrovascular diseases, poorly controlled hypertension, glaucoma, intracranial hypertension, or other contraindications for the inverted position. Previous history of lumbar spine surgery. Women who are pregnant or lactating.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Herniated Disc Volume Change Rate ;disc height ; VAS score; JOA low back pain score;ODI index; | — |
Secondary
| Measure | Time frame |
|---|---|
| height of the herniated segment measured on MRI;volume of the herniation Secondary indicators; | — |
Countries
China
Contacts
Public ContactLin Ying
Guangdong Second Traditional Chinese Medicine Hospital (Guangdong Provincial Research Institute of Traditional Chinese Medicine Engineering Technology)
Outcome results
None listed