Open Discectomy Versus Microscopic Discectomy for Lumbar Disc Herniation

Not Applicable

Completed

• Conditions: Lumbar Disc Herniation
• Interventions: Procedure: Microdiscectomy

• Registration Number: NCT04112485
• Lead Sponsor: Hawler Medical University

Brief Summary

60 patients involved were divided into two matched groups; Group A: 30 patients were treated with conventional fenestration laminectomy and discectomy and Group B: 30 patients were treated with microdiscectomy. The age of the patients involved in this study ranged from 19 years old to 46 years old

Detailed Description

60 patients involved were divided into two matched groups; Group A: 30 patients were treated with conventional fenestration laminectomy and discectomy and Group B: 30 patients were treated with microdiscectomy. The age of the patients involved in this study ranged from 19 years old to 46 years old. All the patient was suffering from symptomatic lumbar disc herniation L4-5. Each patient was assessed clinically and MRI was done for all the patients to prove clinically, the symptomatic lumbar disc herniation which was present in all patients.

Study Timeline

• Study Start: 2015-03-04
• Primary Completion: 2019-08-15
• Study Completion: 2019-08-20
• Study First Submitted: 2019-09-27
• Study First Submitted QC: 2019-09-30
• Study First Posted: 2019-10-02
• Status Verified: 2020-05
• Last Update Submitted: 2020-05-08
• Last Update Posted: 2020-05-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Adults who are symptomatic lumbar disc herniation L4-5. Each patient was assessed clinically and MRI was done for all the patients to prove clinically, the symptomatic lumbar disc herniation which was present in all patients. Conservative treatment for 6weeks was failed

Exclusion Criteria

• smoking, previous lumbar spine surgery, Diabetes Melitus (DM) and neuromuscular disorders.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Open discectomy	Microdiscectomy	This group of patients are treated by open discectomy
Microdiscectomy	Microdiscectomy	This group of patients are treated by Microdiscectomy

Primary Outcome Measures

Name	Time	Method
Visual analogue score	Visua analogue score was assessed preoperatively and postoperatively to see how much change in pain can occurred after open discectomy and after Microdiscectomy for 1 year	Visual analogue score of back pain and leg pain which represent a score from 0-10 so if patient has no pain so gives 0 and if has severe pain gives 10
Oswestry disability index	Oswestry disability index was assessed preoperatively and postoperatively to assess how much changes can occur after open discectomy and Microdiscectomy for 1 year after surgery	Oswestry disability index in a measurement of functional ability of patients regarding pain and daily activities