About this trial
This study aims to compare the endoscopic versus open lumbar discectomy in diabetic patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
Extraforaminal disc herniation.
Recurrent and/or multiple level discs prolapses.
Spondylolisthesis.
Prior lumbar surgery at the same spinal level.
Trial design
Parallel
Treatments tested in this trial
Endoscopic lumbar discectomy
Procedure/SurgeryPatients will undergo endoscopic lumbar discectomy.
Open lumbar discectomy
Procedure/SurgeryPatients will undergo an open lumbar discectomy.
Treatment groups
Trial 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.
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.
Length of hospital stay
Length of hospital stay will be recorded from admission till discharge from hospital.
Intraoperative blood loss
Intraoperative blood loss will be recorded.
Operative time
Operative time will be recorded from the start of surgery till the end of surgery.
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