Percutaneous Discectomy to Treat Symptomatic Lumbar Disc Herniation : Evaluation of Clinical Efficiency, Patient Reported Outcomes and Economical Impact by Assessing Time Before Return to Work and Duration of Hospitalization Stay
Study Details
Study Description
Brief Summary
This study aims to evaluate the clinical (pain) and functional (patient reported outcomes) efficacy of percutaneous discectomies under CT guidance to treat lumbar disc herniations resistant to conservative treatment and nerve root infiltrations.
The aim is also to evaluate the economic impact of the procedure, mainly through the length of hospitalization and the time to return to work.
Patients were evaluated initially before surgery and then at 1, 3 and 6 months.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Lumbar disc herniation Patient over 18 years of age suffering from radiculalgia related to lumbar disc herniation visualized on MRI with radio-clinical concordance, failure of conservative treatment and nerve root infiltrations |
Procedure: Percutaneous discectomies under CT
Percutaneous discectomies under CT guidance to treat lumbar disc herniations resistant to conservative treatment and nerve root infiltrations.
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Outcome Measures
Primary Outcome Measures
- Oswestry disability index [before treatment]
Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders
- Oswestry disability index [At 1 month after treatment]
Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders
- Oswestry disability index [At 3 month after treatment]
Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders
- Oswestry disability index [At 6 month after treatment]
Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders
Secondary Outcome Measures
- Visual analogic scale [Initially and at 1 month, 3 month and 6 month after the procedure]
pain rating scale from 0 to 10 (worst is 10)
- Off work duration [Initially and at 1 month, 3 month and 6 month after the procedure]
days before returning to work
- Hospitalization duration [Initially and at 1 month, 3 month and 6 month after the procedure]
overnights hospitalization stays following the intervention
- use of pain killers [Initially and at 1 month, 3 month and 6 month after the procedure]
frequency of the use of painkillers before and after the intervention
Eligibility Criteria
Criteria
Inclusion Criteria:
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radiculalgia related to lumbar disc herniation with clinical radiological concordance
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age > 18
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resistance to conservative treatment and nerve root infiltrations
Exclusion Criteria:
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prior discal surgery at the same level,
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lumbar canal stenosis,
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extruded discal herniation,
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neurological deficit,
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no capacity to answer to follow-up calls
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Chu de Nice | Nice | France |
Sponsors and Collaborators
- Centre Hospitalier Universitaire de Nice
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 23Imagerie01