Efficacy and Safety of Endo-Surgi Plus Endoscopy, UBE Endoscopy, and Microdiscectomy Decompression Techniques for the Treatment of Lumbar Spinal Stenosis: A Prospective Multicenter Study

What this Trial Is About

Researchers are comparing three minimally invasive surgical techniques for treating lumbar spinal stenosis: Endo-Surgi Plus endoscopic surgery, unilateral biportal endoscopic (UBE) surgery, and microdiscectomy. Lumbar spinal stenosis is a condition where the space in the lower spine narrows, compressing nerves and causing pain. The study aims to evaluate the clinical effectiveness, complication rates, and surgical trauma among these three approaches to better understand their benefits and differences. Participants are randomly assigned to receive one of the three surgeries. Each patient undergoes decompression surgery through specific channels: Endo-Surgi Plus uses a larger single-channel endoscope, UBE uses separate endoscopic and working channels allowing traditional instruments, and microdiscectomy uses a microscope-assisted minimally invasive technique. After surgery, all patients receive low-dose hormone treatment, dehydrating agents, and neurotrophic drugs, along with standardized rehabilitation exercises and recovery education. The study includes at least one year of follow-up. During the study, patients will have scheduled outpatient visits, physical exams, questionnaires, and necessary tests to monitor progress and recovery. Researchers will measure disability using the Oswestry Disability Index (ODI) at one year post-surgery, along with pain scores, quality of life surveys, MRI scans, and surgical details such as blood loss and operation time. Data will be analyzed to compare outcomes and safety across the three surgical methods, with follow-up continuing for at least 12 months.

Comparision of Endoscopic Discectomy and Microdiscectomy for the Treatment of Lumbar Spinal Stenosis