Endoscopic Versus Open Lumbar Discectomy in Diabetic Patients

Endoscopic Versus Open Lumbar Discectomy in Diabetic Patients: A Randomized Controlled Trial

This study aims to compare the endoscopic versus open lumbar discectomy in diabetic patients.

Diabetes mellitus (DM) is a highly prevalent disease with the capacity to adversely affect nearly every major organ system. DM has been demonstrated as a risk factor for a variety of complications within medical and surgical spheres Open lumbar discectomy is the most common surgical discectomy technique and is considered by many to be the gold standard.

Endoscopic lumbar discectomy allowed spinal surgeons to decompress a symptomatic lumbar nerve root by using an endoscopic minimally invasive surgical approach.

Inclusion Criteria:

• Age from 18 to 75 years.
• Both sexes.
• Patients suffering from prolapsed lumbar disc postero-lateral, single level disc herniation at L4-5 or L5-S1 level with low back pain and unilateral radiculopathy and failure of conservative treatment for 12 weeks

Exclusion Criteria:

• Extraforaminal disc herniation.
• Recurrent and/or multiple level discs prolapses.
• Spondylolisthesis.
• Prior lumbar surgery at the same spinal level.