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Focus of this study is evaluation of the outcome, neurologic impairment and safety of epidural steroide following lumbar discectomy for herniated disc disease.
Methylprednisolone might enhance recovery after discectomy for herniated disc disease without apparent side effect.
Convalescence after discectomy for herniated disc disease is dependent on pain and the inflammatory response. In arthroscopic and abdominal surgery steroids reduce the inflammatory response and enhance recovery.
200 patients with herniated disc disease are randomly allocated to receive epidural methylprednisolone 40 mg or none.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epidural steroid | Active Comparator | 1.0 mL methylprednisolone acetate 40 mg/mL instilled at the decompressed nerve root |
|
| None epidural steroid | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methylprednisolone | Drug | Epidural methylprednisolone 40 mg or none |
|
| Measure | Description | Time Frame |
|---|---|---|
| Symptoms and signs of neurologic impairment and rate of operation during a 2-year follow-up. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital stay, back and leg pain and reflex deficit. | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sten Rasmussen, M.D.Sci. | Orthopaedic Research Unit, Aalborg University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Orthopaedic Surgery Research Unit, Aalborg University Hospital | Aalborg | 9000 | Denmark | |||
| Section for Surgical Pathophysiology, Juliane Marie Centre, Rigshospitalet |
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| ID | Term |
|---|---|
| D008775 | Methylprednisolone |
| ID | Term |
|---|---|
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
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| Copenhagen |
| Denmark |
| Department of Orthopaedic Surgery, Vejle and Give Hospital | Vejle | Denmark |
| D013256 |
| Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |