A Comparison Between Biportal and Uniportal Endoscopic Lumbar Discectomy

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2027-09-01

Brief Summary

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This study aims to provide a detailed comparison between different methods of lumbar discectomy by the use of different types of spine endoscopy to evaluate the benefits and drawbacks of each type

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Detailed Description

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The aim of this study is to compare between uniportal and biportal endoscopic techniques in patients with lumbar disc herniation in terms of efficacy, safety, and learning curve of endoscopic spine surgery .The research will focus on clinical outcomes, functional recovery, complication rates, patient satisfaction and surgical proficiency in different endoscopic spine surgery techniques, including uniportal and biportal approaches assessing their relative advantages and limitations.

Conditions

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Lumbar Disc Herniation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

A prospective study will be conducted at Sohag and Cairo University Hospitals on 60 patients diagnosed with lumbar disc herniation, undergoing endoscopic lumbar discectomy.

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients with lumbar disc prolapse

1. Patients aged 18-70 years.
2. single-level lumbar disc herniation (L3-L4, L4-L5, or L5-S1) confirmed by MRI.
3. Persistent symptoms not responding to conservative management (≥6 weeks).

Group Type ACTIVE_COMPARATOR

Endoscopic lumbar discectomy

Intervention Type PROCEDURE

Uniportal and boportal endoscopic lumbar discectomy (transforaminal or interlaminar)

Interventions

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Endoscopic lumbar discectomy

Uniportal and boportal endoscopic lumbar discectomy (transforaminal or interlaminar)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients should fulfill the following criteria

1. Patients aged 18-70 years.
2. single-level lumbar disc herniation (L3-L4, L4-L5, or L5-S1) confirmed by MRI.
3. Persistent symptoms not responding to conservative management (≥6 weeks).

Exclusion Criteria

* All patients should not have any of the following criteria

1. Multilevel disc herniation.
2. Previous lumbar spine surgery, trauma or injection.
3. Severe spinal stenosis.
4. Severe osteoporosis, infection, or malignancy or autoimmune disease affecting the spine.
5. Uncontrolled medical comorbidities contraindicating surgery.
6. Instability: spondylolisthesis\>grade 1
7. Marked obesity.(BMI \>35-40 kg/m2 )

Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No