Lumbar Disc Herniation Clinical Trial
Official title:
A Prospective, Comparative Study to Evaluate Effectiveness and Safety of Dynamic Stabilization in Treatment of Lumbar Disc Herniation
The purpose of this study is to compare safety and outcomes of the following treatments of
lumbar disc herniation: (1) discectomy with posterior dynamic stabilization with those of
(2) discectomy alone or (3) discectomy with internal fixation and fusion.
Discectomy with posterior dynamic stabilization is proposed as the most effective treatment
to improve range of motion, and to be similarly effective to discectomy alone and discectomy
with internal fixation and fusion for other functional outcomes after surgery.
The purpose of this study is to compare outcomes of (1) discectomy with posterior dynamic
stabilization with those of (2) discectomy alone or (3) discectomy with internal fixation
and fusion.
Study aims are:
1. To demonstrate superiority of discectomy with posterior dynamic stabilization over
discectomy alone and discectomy with internal fixation and fusion in range of motion at
the operated level;
2. To demonstrate non-inferiority of discectomy with posterior dynamic stabilization
compared to discectomy alone and discectomy with internal fixation and fusion in
functional outcomes as measured by change in Oswestry Disability Index;
3. To compare radiological, clinical, patient-reported and safety outcomes among the three
surgical approaches.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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