Open Discectomy Versus Microscopic Discectomy for Lumbar Disc Herniation

Study Overview
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Brief Summary
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60 patients involved were divided into two matched groups; Group A: 30 patients were treated with conventional fenestration laminectomy and discectomy and Group B: 30 patients were treated with microdiscectomy. The age of the patients involved in this study ranged from 19 years old to 46 years old

Detailed Description
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60 patients involved were divided into two matched groups; Group A: 30 patients were treated with conventional fenestration laminectomy and discectomy and Group B: 30 patients were treated with microdiscectomy. The age of the patients involved in this study ranged from 19 years old to 46 years old. All the patient was suffering from symptomatic lumbar disc herniation L4-5. Each patient was assessed clinically and MRI was done for all the patients to prove clinically, the symptomatic lumbar disc herniation which was present in all patients.

Official Title
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Open Discectomy Versus Microscope Assisted Discectomy for Treatment of Symptomatic Lumbar Disc Herniation: a Comparative Study

Conditions
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Lumbar Disc Herniation

Intervention / Treatment
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* Procedure: Microdiscectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults who are symptomatic lumbar disc herniation L4-5. Each patient was assessed clinically and MRI was done for all the patients to prove clinically, the symptomatic lumbar disc herniation which was present in all patients. Conservative treatment for 6weeks was failed Exclusion Criteria: smoking, previous lumbar spine surgery, Diabetes Melitus (DM) and neuromuscular disorders.

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 46 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Open discectomy<br>This group of patients are treated by open discectomy | Procedure: Microdiscectomy<br> <br> * Other names: Open discectomy;|
| Other: Microdiscectomy<br>This group of patients are treated by Microdiscectomy | Procedure: Microdiscectomy<br> <br> * Other names: Open discectomy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue score | Visual analogue score of back pain and leg pain which represent a score from 0-10 so if patient has no pain so gives 0 and if has severe pain gives 10 | Visua analogue score was assessed preoperatively and postoperatively to see how much change in pain can occurred after open discectomy and after Microdiscectomy for 1 year | 
| Oswestry disability index | Oswestry disability index in a measurement of functional ability of patients regarding pain and daily activities | Oswestry disability index was assessed preoperatively and postoperatively to assess how much changes can occur after open discectomy and Microdiscectomy for 1 year after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Lumbar disc herniation , Open Discectomy, Micrdiscectomy