Biportal Endoscopic Discectomy Versus Microdiscectomy: RCT, Non-inferiority Trial
BESS
Outcomes Following Lumbar Discectomy Surgery in Lumbar Herniated Intervertebral Disc With Biportal Endoscopy Versus Open Microdiscectomy Technique: A Prospective, Multicenter, Single-blinded, Randomized Controlled Non-inferiority Trial
1 other identifier
interventional
64
1 country
2
Brief Summary
This study is to compare the clinical outcome between the biportal endoscopic discectomy and microdiscectomy in herniated intervertebral disc of lumbar spine
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2019
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 17, 2019
CompletedFirst Posted
Study publicly available on registry
April 23, 2019
CompletedStudy Start
First participant enrolled
April 28, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 28, 2021
CompletedMarch 23, 2022
March 1, 2022
2.6 years
April 17, 2019
March 21, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Oswestry disability index (ODI)
The ODI is based on a self-administered questionnaire measuring ''back-specific function.'' The questionnaire comprises 10 items, each with 6 levels of response. Each item is scored from 0 to 5, and the total summation is converted to a 0-100 scale. The ODI scores ranges from 0 to 100, with higher scores indicating severe symptoms. This is assessed by ODI survey at 1 year after surgery
at 1 year after surgery
Secondary Outcomes (12)
Change from baseline Oswestry disability index (ODI)
3, 6, and 12, months, and every year, up to 5 year after operation
Change from baseline Visual Analog Pain Scale (VAS)
4, 8, 12, 24, 48 hours, 2 weeks, 3, 6, and 12, months, and every year, up to 5 year after operation
Change from baseline EuroQoL-5 dimension (EQ-5D) value
3, 6, and 12, months, and every year, up to 5 year after operation
Change from baseline PainDETECT score
3, 6, and 12, months, and every year, up to 5 year after operation
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
up to 1 month after operation
- +7 more secondary outcomes
Study Arms (2)
Biportal endoscopic discectomy
EXPERIMENTALBiportal endoscopic discectomy for lumbar herniated intervertebral disc
Microdiscectomy
ACTIVE COMPARATORMicrodiscectomy for lumbar herniated intervertebral disc
Interventions
Eligibility Criteria
You may qualify if:
- patients aged between 20 and 80
- patients who has radiating pain (VAS \>=40) on lower extremities with HIVD
- patients who required one-level discectomy between L1 and S1
- those who (only if a signature was obtainable), or whose legal guardian, fully understood the clinical trial details and signed the informed consent form
You may not qualify if:
- Revision surgery
- Over spondylolisthesis Gr II
- Degenerative lumbar scoliosis (Cobb angle \>20)
- patients with a history of other spinal diseases (compression fracture, spondylitis, tumor)
- women with positive pregnancy tests before the trial or who planned to become pregnant within the following 3 years
- patients with a history of malignant tumor or malignant diseases (but the cases of cured disease with no relapse for the past 5 years were included in the present study)
- patients with mental retardation or whose parents or legal guardians were older or had mental disabilities
- other patients viewed as inappropriate by the staff
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Seoul National University Bundang Hospital
Seongnam-si, Gyounggido, South Korea
Chungnam National University Hospital
Daejeon, 35015, South Korea
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
April 17, 2019
First Posted
April 23, 2019
Study Start
April 28, 2019
Primary Completion
November 30, 2021
Study Completion
December 28, 2021
Last Updated
March 23, 2022
Record last verified: 2022-03