Endoscopic Lumbar Discectomy: A Comparative Study Between Uniportal and Biportal Endocopic Techniques on Clinical and Surgical Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Primary outcome measures After endoscopic lumbar discectomy Pain relief
研究概览
简要总结
This study aims to provide a detailed comparison between different methods of lumbar discectomy by the use of different types of spine endoscopy to evaluate the benefits and drawbacks of each type
详细描述
The aim of this study is to compare between uniportal and biportal endoscopic techniques in patients with lumbar disc herniation in terms of efficacy, safety, and learning curve of endoscopic spine surgery .The research will focus on clinical outcomes, functional recovery, complication rates, patient satisfaction and surgical proficiency in different endoscopic spine surgery techniques, including uniportal and biportal approaches assessing their relative advantages and limitations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients should fulfill the following criteria
- •Patients aged 18-70 years.
- •single-level lumbar disc herniation (L3-L4, L4-L5, or L5-S1) confirmed by MRI.
- •Persistent symptoms not responding to conservative management (≥6 weeks).
排除标准
- •All patients should not have any of the following criteria
- •Multilevel disc herniation.
- •Previous lumbar spine surgery, trauma or injection.
- •Severe spinal stenosis.
- •Severe osteoporosis, infection, or malignancy or autoimmune disease affecting the spine.
- •Uncontrolled medical comorbidities contraindicating surgery.
- •Instability: spondylolisthesis>grade 1
- •Marked obesity.(BMI >35-40 kg/m2 )
研究组 & 干预措施
Patients with lumbar disc prolapse
- Patients aged 18-70 years.
- single-level lumbar disc herniation (L3-L4, L4-L5, or L5-S1) confirmed by MRI.
- Persistent symptoms not responding to conservative management (≥6 weeks).
干预措施: Endoscopic lumbar discectomy (Procedure)
结局指标
主要结局
Primary outcome measures After endoscopic lumbar discectomy Pain relief
时间窗: 12 weeks up to 2 years
1-Pain Relief: Visual Analog Scale (VAS for leg and back pain)
次要结局
未报告次要终点
研究者
Mohamed Ibraheem Amin
Assistant lecturer at neurosurgery department sohag University
Sohag University