Impact of Muscle Degeneration in Chronic Low Back Pain in Patients Undergoing Neural Decompression Surgery

What this Trial Is About

Researchers are studying adults with lumbar degenerative diseases, such as lumbar spinal stenosis, lumbar disc herniation, and radiculopathy, who experience nerve compression symptoms like radiculopathy or neurogenic claudication. The study aims to understand how muscle degeneration in the paraspinal and trunk muscles affects chronic low back pain after lumbar neural decompression surgery. This information could improve rehabilitation planning and help predict surgical outcomes for patients and health professionals. The treatment under evaluation is lumbar decompressive surgery, including techniques such as discectomy, foraminotomy, or laminectomy, chosen by the surgeon based on the patient's condition. Patients are grouped by surgical approach: minimally invasive microdiscectomy with magnification and retractors, open microdiscectomy with magnification and conventional retractors, endoscopic discectomy using the full endoscopic technique, or open discectomy without magnification using conventional retractors. Imaging tests, including X-rays and MRI scans, are used preoperatively and at six months after surgery to assess muscle fat infiltration and vertebral degeneration. Participants will be followed before surgery, immediately after, and at 6, 12, and 24 months post-surgery. Assessments include pain intensity changes, radiological evaluations, and changes in kinesiophobia, psychosocial risk, global recovery impression, mood disorders, disability, and quality of life. The study tracks medical records and imaging results to monitor outcomes, with a total follow-up period of two years after surgery. Statistical analyses will be conducted to evaluate the relationship between muscle degeneration and chronic low back pain.

Impact of Muscle Degeneration in Chronic Low Back Pain