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This study aims to evaluate the clinical (pain) and functional (patient reported outcomes) efficacy of percutaneous discectomies under CT guidance to treat lumbar disc herniations resistant to conservative treatment and nerve root infiltrations.
The aim is also to evaluate the economic impact of the procedure, mainly through the length of hospitalization and the time to return to work.
Patients were evaluated initially before surgery and then at 1, 3 and 6 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lumbar disc herniation | Patient over 18 years of age suffering from radiculalgia related to lumbar disc herniation visualized on MRI with radio-clinical concordance, failure of conservative treatment and nerve root infiltrations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous discectomies under CT | Procedure | Percutaneous discectomies under CT guidance to treat lumbar disc herniations resistant to conservative treatment and nerve root infiltrations. |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry disability index | Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders | before treatment |
| Oswestry disability index | Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders | At 1 month after treatment |
| Oswestry disability index | Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders | At 3 month after treatment |
| Oswestry disability index | Fonctionnal indicator of incapicity validated for patient suffering from spinal disorders | At 6 month after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogic scale | pain rating scale from 0 to 10 (worst is 10) | Initially and at 1 month, 3 month and 6 month after the procedure |
| Off work duration | days before returning to work |
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Inclusion Criteria:
Exclusion Criteria:
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Patient over 18 years of age suffering from radiculalgia related to lumbar disc herniation visualized on MRI with radio-clinical concordance, failure of conservative treatment and nerve root infiltrations ; consulting in interventionnal radiology care unit,
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu de Nice | Nice | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38110149 | Derived | Ranc PA, Rudel A, Bentellis I, Prestat A, Elbaze S, Sala V, Torre F, Pavan LJ, Uri IF, Amoretti N. Patient-Reported Outcomes and Return to Work after CT-Guided Percutaneous Lumbar Discectomy: A Prospective Study. J Vasc Interv Radiol. 2024 Mar;35(3):390-397. doi: 10.1016/j.jvir.2023.12.007. Epub 2023 Dec 16. |
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| Initially and at 1 month, 3 month and 6 month after the procedure |
| Hospitalization duration | overnights hospitalization stays following the intervention | Initially and at 1 month, 3 month and 6 month after the procedure |
| use of pain killers | frequency of the use of painkillers before and after the intervention | Initially and at 1 month, 3 month and 6 month after the procedure |
| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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