Lumbar Disc Herniation
Conditions
Brief summary
This study aims to evaluate the clinical (pain) and functional (patient reported outcomes) efficacy of percutaneous discectomies under CT guidance to treat lumbar disc herniations resistant to conservative treatment and nerve root infiltrations. The aim is also to evaluate the economic impact of the procedure, mainly through the length of hospitalization and the time to return to work. Patients were evaluated initially before surgery and then at 1, 3 and 6 months.
Interventions
Percutaneous discectomies under CT guidance to treat lumbar disc herniations resistant to conservative treatment and nerve root infiltrations.
Sponsors
Study design
Eligibility
Inclusion criteria
* radiculalgia related to lumbar disc herniation with clinical radiological concordance * age \> 18 * resistance to conservative treatment and nerve root infiltrations
Exclusion criteria
* prior discal surgery at the same level, * lumbar canal stenosis, * extruded discal herniation, * neurological deficit, * no capacity to answer to follow-up calls
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry disability index | before treatment | Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogic scale | Initially and at 1 month, 3 month and 6 month after the procedure | pain rating scale from 0 to 10 (worst is 10) |
| Off work duration | Initially and at 1 month, 3 month and 6 month after the procedure | days before returning to work |
| Hospitalization duration | Initially and at 1 month, 3 month and 6 month after the procedure | overnights hospitalization stays following the intervention |
| use of pain killers | Initially and at 1 month, 3 month and 6 month after the procedure | frequency of the use of painkillers before and after the intervention |
Countries
France