Status:

COMPLETED

A Randomized Trial Comparing SpineJet® Hydrodiscectomy to Open Lumbar Microdiscectomy for Treatment of Lumbar Radiculopathy Due to Disc Herniation

Lead Sponsor:

Pinnacle Pain Medicine

Collaborating Sponsors:

HydroCision, Inc.

Conditions:

Disc Herniation With Radiculopathy

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

The purpose of this study is to compare a standard surgical procedure, open surgical microdiscectomy, used primarily to relieve leg pain and repair disc herniation to a newer surgical procedure, hydro...

Detailed Description

This is a randomized multi-clinic study supported by HydroCision, Inc. to compare open lumbar microdiscectomy to percutaneous lumbar discectomy with Spinejet® for patients with contained or small extr...

Eligibility Criteria

Inclusion

  • Patient ages 18-75, both sexes
  • Posterolateral single lumbar contained disc herniation, any level, up to 1/3 of spinal canal sagittal diameter, concordant radicular pain +/- back pain, and MRI confirmed nerve root contact/compression
  • Failed trial of at least one NSAID within 6 months
  • Failed at least 2 weeks physical therapy within 6 months
  • Failed at least 2 epidural steroid injection (ESIs), no less than 2 weeks apart within 6 months
  • Initial or recurrent episode of radiculitis
  • Willingness to sign IRB-approved consent

Exclusion

  • Strength \< 4/5 in major muscle group of ipsilateral lower extremity
  • Large extruded or sequestered HNP
  • Greater than mild central canal, lateral recess, or neuroforamenal stenosis
  • Previous surgery at affected level
  • Other level lumbar HNP on affected side
  • Significant (\>50%) loss of disc height compared to the adjacent higher level
  • Local infection at needle insertion site
  • Epidural extravasation on discography
  • Pregnancy
  • ASA status IV/V
  • Diseases transmitted by blood
  • Any illness, condition, or medication that would make a patient unsuitable for a surgical procedure

Key Trial Info

Start Date :

October 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

Estimated Enrollment :

58 Patients enrolled

Trial Details

Trial ID

NCT00384007

Start Date

October 1 2006

Last Update

June 5 2009

Active Locations (1)

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Pinnacle Anesthesia Consultants, P.A. d.b.a. Pinnacle Pain Medicine

Dallas, Texas, United States, 75240