Endoscopic Versus Open Lumbar Discectomy in Diabetic Patients

Al-Azhar University50 enrolled

Overview

This study aims to compare the endoscopic versus open lumbar discectomy in diabetic patients.

Diabetes mellitus (DM) is a highly prevalent disease with the capacity to adversely affect nearly every major organ system. DM has been demonstrated as a risk factor for a variety of complications within medical and surgical spheres Open lumbar discectomy is the most common surgical discectomy technique and is considered by many to be the gold standard. Endoscopic lumbar discectomy allowed spinal surgeons to decompress a symptomatic lumbar nerve root by using an endoscopic minimally invasive surgical approach.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Endoscope Open Lumbar Discectomy Diabetes Mellitus

Interventions

Endoscopic lumbar discectomyPROCEDURE

Patients will undergo endoscopic lumbar discectomy.

Open lumbar discectomyPROCEDURE

Patients will undergo an open lumbar discectomy.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age from 18 to 75 years. * Both sexes. * Patients suffering from prolapsed lumbar disc postero-lateral, single level disc herniation at L4-5 or L5-S1 level with low back pain and unilateral radiculopathy and failure of conservative treatment for 12 weeks Exclusion Criteria: * Extraforaminal disc herniation. * Recurrent and/or multiple level discs prolapses. * Spondylolisthesis. * Prior lumbar surgery at the same spinal level.

Locations (1)

Al-Azhar University (Damietta)

Damietta, Egypt

RECRUITING

Outcomes

Primary Outcomes

Degree of low back pain

The patients will be evaluated clinically using Visual Analogue Score (VAS) for low back pain and radicular pain. VAS (0 represents "no pain" while 10 represents "the worst pain imaginable"). VAS will be assessed at 0, 4, 8, 12, 18, 24, 36 and 48 h postoperatively.

Time frame: 48 hours postoperatively

Secondary Outcomes

Degree of radicular pain

The patients will be evaluated clinically using Visual Analogue Score (VAS) for radicular pain and radicular pain. VAS (0 represents "no pain" while 10 represents "the worst pain imaginable"). VAS will be assessed at 0, 4, 8, 12, 18, 24, 36 and 48 h postoperatively.

Time frame: 48 hours postoperatively

Length of hospital stay

Length of hospital stay will be recorded from admission till discharge from hospital.

Time frame: 1 week postoperatively

Intraoperative blood loss

Intraoperative blood loss will be recorded.

Time frame: Intraoperatively

Operative time

Operative time will be recorded from the start of surgery till the end of surgery.

Time frame: Intraoperatively

Wound length

Wound length will be recorded.

Time frame: Intraoperatively

Central Contacts

Awad M Hegab, MD

CONTACT

00201061833482 Dr.awadhegab@gmail.com

Data from ClinicalTrials.gov

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