Diabetes Mellitus, Endoscope, Lumbar Discectomy, Open
Conditions
Brief summary
This study aims to compare the endoscopic versus open lumbar discectomy in diabetic patients.
Detailed description
Diabetes mellitus (DM) is a highly prevalent disease with the capacity to adversely affect nearly every major organ system. DM has been demonstrated as a risk factor for a variety of complications within medical and surgical spheres Open lumbar discectomy is the most common surgical discectomy technique and is considered by many to be the gold standard. Endoscopic lumbar discectomy allowed spinal surgeons to decompress a symptomatic lumbar nerve root by using an endoscopic minimally invasive surgical approach.
Interventions
PROCEDUREEndoscopic lumbar discectomy
Patients will undergo endoscopic lumbar discectomy.
PROCEDUREOpen lumbar discectomy
Patients will undergo an open lumbar discectomy.
Sponsors
Al-Azhar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age from 18 to 75 years. * Both sexes. * Patients suffering from prolapsed lumbar disc postero-lateral, single level disc herniation at L4-5 or L5-S1 level with low back pain and unilateral radiculopathy and failure of conservative treatment for 12 weeks
Exclusion criteria
* Extraforaminal disc herniation. * Recurrent and/or multiple level discs prolapses. * Spondylolisthesis. * Prior lumbar surgery at the same spinal level.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of low back pain | 48 hours postoperatively | The patients will be evaluated clinically using Visual Analogue Score (VAS) for low back pain and radicular pain. VAS (0 represents no pain while 10 represents the worst pain imaginable). VAS will be assessed at 0, 4, 8, 12, 18, 24, 36 and 48 h postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Degree of radicular pain | 48 hours postoperatively | The patients will be evaluated clinically using Visual Analogue Score (VAS) for radicular pain and radicular pain. VAS (0 represents no pain while 10 represents the worst pain imaginable). VAS will be assessed at 0, 4, 8, 12, 18, 24, 36 and 48 h postoperatively. |
| Length of hospital stay | 1 week postoperatively | Length of hospital stay will be recorded from admission till discharge from hospital. |
| Intraoperative blood loss | Intraoperatively | Intraoperative blood loss will be recorded. |
| Operative time | Intraoperatively | Operative time will be recorded from the start of surgery till the end of surgery. |
| Wound length | Intraoperatively | Wound length will be recorded. |
Countries
Egypt
Contacts
Primary ContactAwad M Hegab, MD
Outcome results
None listed