Comparative Study Between UBE and PETD for the Treatment of Lumbar Spinal Canal Stenosis
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An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: unilateral biportal endoscopy technique or percutaneous endoscopic transforaminal discectomy.
- Who it may be relevant to
- Registry conditions: Lumbar Disc Herniation. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparative Study Between Unilateral Biportal Endoscopy Technique and Percutaneous Endoscopic Transforaminal Discectomy for the Treatment of Lumbar Spinal Canal Stenosis
Overview
OBJECTIVE Both unilateral biportal endoscopy technique(UBE) and percutaneous endoscopic transforaminal discectomy(PETD) are minimally invasive and effective surgical procedures for lumbar spinal stenosis.The object of this retrospective study was to compare the clinical and radiological outcomes between UBE and PETD. METHODS In the period from July 2020 to December 2020, using UBE or PETD to treat lumbar canal stenosis.Patients were classified into two groups based on the surgery they had undergone. Preoperative and postoperative MR image was used to evaluate the removal rate of lumbar disc herniated material by two surgical methods. The two surgical methods are also compared and evaluated in terms of operation time, incision size, hospitalization time, etc.
Detailed description
It was performed as a retrospective analysis of prospectively collected data on patients received spinal endoscopic decompression between July 2020 to December 2020 was conducted. All patients underwent lumbar MRI examination with the result of L5-S1 disc herniation，accompanied by claudication or lower extremity radiation pain and other nerve compression symptoms. The symptoms have not improved with conservative treatments including physical therapy, medication, and epidural injection procedures for a minimum of 12 weeks. Patients who hadprevious spine surgery, infection, trauma, tumors or spondylolisthesis were excluded. The surgery was performed by the same experienced spinal surgeon and the surgical patient were closely followed for 3 months after surgery.
The investigators performed two kinds of endoscopic lumbar discectomy：unilateral biportal endoscopy technique(UBE) and percutaneous endoscopic transforaminal discectomy(PETD).
Interventions
- Procedure unilateral biportal endoscopy technique or percutaneous endoscopic transforaminal discectomy
Treatment of lumbar intervertebral disc herniation with unilateral biportal endoscopy technique in unilateral biportal endoscopy technique group.Treatment of lumbar intervertebral disc herniation with percutaneous endoscopic transforaminal discectomy in percutaneous endoscopic transforaminal discectomy group.
Primary outcome measures
- Cross-sectional area of the preoperative lumbar intervertebral disc [Time frame: preoperative]
- Cross-sectional area of the preoperative spinal canal [Time frame: preoperative]
- Cross-sectional area of the postoperative lumbar intervertebral disc [Time frame: 3 months after surgery]
- preoperative ODI [Time frame: preoperative]
- ODI on 3 months after operation [Time frame: 3 months after surgery]
- ODI at the final follow-up [Time frame: Final follow-up]
- preoperative VAS back pain score [Time frame: preoperative]
- preoperative VAS leg pain score [Time frame: preoperative]
- VAS back pain score on postoperative day 1 [Time frame: 1 day after operation]
- VAS leg pain score on postoperative day 1 [Time frame: 1 day after operation]
Secondary outcome measures (2)
- operation time [Time frame: intraoperative]
- incision size [Time frame: intraoperative]
Eligibility criteria
Inclusion criteria
\- Single-segment lumbar disc herniation/lumbar spinal stenosis
Exclusion criteria
- Multi-segment lumbar disc herniation / lumbar spinal stenosis、Have received surgery、Hypertension、Diabetes
Inclusion criteria
Inclusion criteria
Single-segment lumbar disc herniation Symptoms of nerve compression
Exclusion criteria
foraminal and extraforaminal disc herniation multilevel disc herniation, spinal stenosis spondylolisthesis scoliosis prior lumbar surgery spinal infection spinal tumor a history of hip or knee arthritis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-control
Study locations
China · 1 center
- Shanxi Medical University — Taiyuan
Identifiers
NCT: NCT05033457 · sxsrmyyjzwc202101