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Postoperative Pain and Analgesic Use Following Lumbar Discectomy: A Comparative Study of Endoscopic Surgery and Open Surgery

RecruitingNAAges 18 Years - anyAllSaint-Gregoire Private Hospital Center
NCT07766031 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The lifetime prevalence of lumbosacral radiculopathy is 3 to 5 percent. The most common cause is a lumbar disc herniation. In 10 to 20 percent of patients, medical treatment is insufficient, and surgery is recommended. Lumbar discectomy is the standard surgical treatment. In recent years, minimally invasive techniques-and endoscopic approaches in particular-have become widely adopted. The main advantage of these techniques lies in their reduced invasiveness, which allows for the preservation of muscle and ligament structures, with less extensive detachment and cutting. This preservation is likely to enable faster rehabilitation during the first few weeks and months after surgery, as well as a shorter hospital stay. However, the available data focus primarily on medium- and long-term outcomes, and few studies have specifically examined early postoperative pain. Yet this immediate period

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📋 Eligibility rules (as published)
Inclusion Criteria: * Have had radicular and/or lower back pain for more than 6 weeks despite proper medical treatment, leading to the decision to schedule surgery * Have symptoms consistent with an MRI showing a herniated disc Exclusion Criteria: * History of lumbar surgery * Complex Regional Pain Syndrome (CRPS) type 1 or 2 * Multiple affected levels * Cauda equina syndrome * Unscheduled surgery * Spondylolisthesis * Significantly narrowed lumbar canal (Schizas C or D) * Pregnant, laboring, or breastfeeding women * Severe psychiatric disorder * Unwilling subject who cannot give consent or cannot return for scheduled visits as per the protocol * Person under legal protection (guardianship, conservatorship, or judicial safeguard) * Person deprived of liberty by judicial or administrative order * Person not covered by social security
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What it tests

  • Endoscopic surgery
  • Open surgery
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Where

1 site
Centre hospitalier Privé Saint-Grégoire
Saint-Grégoire, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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