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Patients did not consent to randomization in any study center, since they preferred endoscopic surgery. The recruitment of patients was impossible.
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This study compares an endoscopic transforaminal surgical technique for the treatment of a herniated disc to the standard microsurgical procedure. Clinical parameters as well as health economy will be assessed.
The study hypothesis is that the endoscopic approach is equivalent or superior to microdiscectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endscopy | Experimental |
| |
| Microsurgery | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| joimax TESSYS | Procedure | Transforaminal Endoscopic Surgery System |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Oswestry Disability Index at 4 years | total follow-up period of 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Quality of Life (SF-12) | total follow-up period of 4 years | |
| Health resources consumption | total follow-up period of 4 years | |
| Complication rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carl H Fürstenberg, MD | University Clinic Heidelberg, Department of Orthopedics, Traumatology and Paraplegiology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Clinic of Neurosurgery | Graz | 8036 | Austria | |||
| Ligamenta Spine Center |
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| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
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| ID | Term |
|---|---|
| C004551 | TES |
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| Microdiscectomy | Procedure | Standard procedure for disc surgery |
|
| 2 years |
| Patient satisfaction | Total follow-up period of 4 years |
| Change from baseline in back and leg pain (NRS) | total follow-up period of 4 years |
| Frankfurt |
| 60594 |
| Germany |
| University Clinic Heidelberg, Department of Orthopedics, Traumatology and Paraplegiology | Heidelberg | 69118 | Germany |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |