Lumbar disc herniation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients scheduled to undergo elective full-endoscopic discectomy for lumbar disc herniation at our institution 2. Age >=20 years 3. Patients with single-level lumbar disc herniation who are deemed suitable for FED 4. Patients who have provided written informed consent
Exclusion criteria
Exclusion criteria: 1. Patients undergoing revision surgery 2. Patients in whom non-degenerative conditions, such as infection, tumor, trauma, or deformity, are the primary pathology 3. Patients with obvious instability, severe bony stenosis, or a condition judged to require concomitant fusion surgery 4. Patients deemed inappropriate for inclusion by the principal investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index (ODI) score at 6 weeks postoperatively. ODI is assessed on a 0-100 scale, with higher scores indicating greater disability. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Longitudinal changes in ODI preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months postoperatively 2. Low back pain and leg pain assessed using the 0-100 mm Visual Analog Scale (VAS; average over the preceding 7 days) preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months postoperatively 3. JOABPEQ, EQ-5D, SF-8, and patient satisfaction with surgery assessed preoperatively and at 3, 6, and 12 months postoperatively, as applicable 4. Radiographic parameters on plain radiographs preoperatively and at 3, 6, and 12 months postoperatively: lumbar lordosis, segmental lordosis, vertebral slip, and dynamic instability if flexion-extension radiographs are obtained 5. Walking ability, analgesic use, and length of hospital stay 6. Wound findings and adverse events up to 12 months postoperatively, including surgical site infection, hematoma, dural tear, neurological worsening, corset-related skin problems, and reoperation 7. Presence or absence of recurrent disc herniation at 12 months postoperatively if imaging is performed in routine clinical practice | — |
Countries
Japan
Contacts
Japan Community Healthcare Organization Osaka Hospital Department of Orthopaedic Surgery