Lumbar Disc Herniation Clinical Trial
Official title:
Full-Endoscopic vs Open Discectomy for the Treatment of Symptomatic Lumbar Herniated Disc: A Prospective Multi-Center Randomized Study
The purpose of this study is to compare the clinical and radiographic outcomes of full endoscopic lumbar discectomy versus open lumbar decompression for the treatment of lumbar herniated discs in which the patient's leg pain is greater than back pain.
The study will be performed utilizing a prospective multi-center randomized model.
Approximately 7 centers will be included in the study as listed above. Patients will be
informed of clinical trial and asked if they would like to participate. Patients are informed
that participation is optional. Patients may withdraw from study any time prior to or after
surgery. Patients will be randomized 2:1 ratio endoscopic:open surgery. Both the endoscopic
and open surgical techniques are utilized in standard of care. If a subject requires an open
surgery approach (based on the surgeons assessment at the time of surgery pre or post
incision) after they are randomized to the endoscopic arm, they will be switched to the open
arm and included in the open crossover arm of the study.
Study procedures will occur at the following time points; Pre-op, 6 wk, 3 mon, 6 mon, 1 yr
and 2 yr follow-up.Subjects will complete questionnaires that assess pain level and location,
functional capacity, work and health status, medication usage and duration of symptoms.
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