Safety and Efficacy of Electromagnetic Navigation System Assisted Percutaneous Endoscopic Lumbar Decompression

NCT ID: NCT05270486

Last Updated: 2022-03-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-06-01

Study Completion Date

2023-12-31

Brief Summary

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There is a shallow learning curve with TELD (transforaminal endoscopic lumbar discectomy). The aim of this study is to assess the safety and efficacy of TELD assisted by electromagnetic navigation for treating lumbar disc herniation (LDH).

Detailed Description

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Conditions

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Cervical Foraminal Stenosis Cervical Disc Herniation

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Group A

group A undergoing TELD (transforaminal endoscopic lumbar discectomy) with electromagnetic navigation system

Electromagnetic navigation system

Intervention Type PROCEDURE

The aim of this study is to assess the safety and efficacy of TELD assisted by electromagnetic navigation for treating lumbar disc herniation (LDH).

Group B

group B undergoing TELD with X-ray fluoroscopy (gold standard)

No interventions assigned to this group

Interventions

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Electromagnetic navigation system

The aim of this study is to assess the safety and efficacy of TELD assisted by electromagnetic navigation for treating lumbar disc herniation (LDH).

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. age≥18 and ≤80 years;
2. typical clinical symptoms and consistent imaging evidence of mono-radiculopathy LDH; or single level LSS combined with disc herniation
3. recalcitrant pain despite proper conservative therapy (including analgesics, NSAIDs, corticoids infusion under CT guidance and physical therapy) for at least 3 months before surgery and/or neurological deficit in the territory of the irritated nerve root
4. VAS pain ≥ 6/10
5. Absence of significant instability;

Exclusion Criteria

1. serious underlying disease or mental illnesses
2. severe central stenosis, cauda equina syndrome, spinal instability, active infection, and serious calcified fragments
3. previous lumbar treatment with spinal surgery, ozone intervention, or radiofrequency ablation
4. unwilling or unable to participate in treatment and complete follow-up
5. Multi-level disc pathology
6. MRC paresis \<4/5
7. Pregnancy
8. participation in another clinical trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Régional de la Citadelle

OTHER

Sponsor Role lead

Responsible Party

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Remacle Thibault

Principal Investigator, MD, PhD, Neurosurgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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EM Assisted TELD

Identifier Type: -

Identifier Source: org_study_id

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