There are very few data and analysis in the literature regarding the symptomatic sacral perineurial cysts. Most studies are case reports or small retrospective sample, which rarely more than 20 cases. There is no an consensus on the choice of treatment (medicine conservative treatment and surgical treatment) for symptomatic sacral perineurial cysts.Our aim, therefore, is to compare the efficacy of medicine conservative treatment and surgical treatment for symptomatic sacral perineurial cysts by a randomized controlled trial. Meanwhile, resting-state functional magnetic resonance imaging is used to detect the changes at pain related brain areas, which will be develop an objective method to evaluate the clinical curative effect of the two treatment options.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
96
sacral canal cyst microscopic tamponade treatment
dose range:gabapentin 400-1200mg tid, tramadol 100-200mg bid
First time:2 days before Surgery or Drug use; Second time:3 months after Surgery or Drug use; Third time:1 year after Surgery or Drug use
Southwest Hospital
Chongqing, China
RECRUITINGVisual analog scale(VAS)
Time frame: 3year
Structure and Function connection change(e.g., increase or decrease the thickness of the cortex, or gray matter;function connection increase or decrease) at somatosensory area
Time frame: 1year
Modify Japanese orthopedic association low back pain score (M-JOA)
Time frame: 3year
Oswestry Disability Index score (DOI)
Time frame: 3year
MacNab curative effect evaluation
Time frame: 3year
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