A Comparative Analysis of Ultrasound versus Fluoroscopy-Guided Transforaminal Endoscopic Lumbar Discectomy: Protocol for a Randomized Clinical Trial Targeting Lumbar Disc Herniation
Comparative trial evaluates the safety and efficacy of ultrasound-guided discectomy in patients with lumbar disc herniation, suggesting a potential radiation-free alternative.
Key Points
This study aims to compare the efficacy and safety of ultrasound-guided versus fluoroscopy-guided lumbar discectomy in patients with lumbar disc herniation.
Conducted as a parallel, block-randomized trial at a single center
Involved 80 adult patients aged 18 to 75 with MRI-confirmed radiculopathy
Evaluated primary endpoints including leg pain and disability at three and six months
Assessed complications within 90 days postoperatively
Analyzed operational metrics like puncture time and healthcare provider satisfaction
Primary endpoints aimed for a 50% reduction in leg pain and 40% improvement in disability scores
Safety assessed through major complication rates and reoperation frequency
Exploration of operational metrics for procedural efficiency and provider well-being