Investigating the effect of lumbosacral spine fusion in the occurrence of sacroiliac joint syndrome (SIJS) after lumbar surgery.

Not Applicable

Recruiting

• Conditions: M48.0; M48.9; Condition 1: sacroiliac joint pain. Condition 2: Spondylosis, arthrosis or osteoarthritis of spine, degeneration of facet joints. Condition 3: Spondylolisthesis. Condition 4: spondylosis with myelopathy. Condition 5: spondylosis with radiculopathy. Condition 6: Other spondylosis. Condition 7: Spondylosis, unspecified. Condition 8: Spinal stenosis. Condition 9: Spondylopathy, unspecified.; Sacroiliitis, not elsewhere classified; Spondylosis; Subluxation and dislocation of lumbar vertebra; Other spondylosis with myelopathy; Other spondylosis with radiculopathy; Other spondylosis; Spondylosis, unspecified

• Registration Number: IRCT20231127060204N1
• Lead Sponsor: Tehran University of Medical Sciences

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 27 May 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 106

Inclusion Criteria

Obtaining written informed consent from the patient to participate in the study
Age over 18 years
Age below 75 years
Patients suffering from lumbar spinal canal stenosis along with low grade degenerative spondylolisthesis of the lumbar spine which has been examined by clinical examinations and imaging methods and their disease has been confirmed by a neurosurgeon and spine specialist and a radiologist
Ineffectiveness of non-surgical conservative methods in controlling the patient's symptoms and pain and disability
No history of lumbar spine surgery
Presence of a clear indication for decompression with or without fusion in the patient
Having Iranian citizenship
It is possible to follow up the patient and be available to participate in routine follow-up sessions

Exclusion Criteria

Vertebral fracture
tumoral or metastatic lesions of vertebrae
Infection in the lumbosacral spine
Inflammatory spondylopathy
Presence of SIJ disease
Patients who have already undergone lumbosacral spine surgery, including revision cases
Interior fusion indication (insertion of interbody cage)
Chronic pain problems, such as Fibromyalgia and other Rheumatological diseases, chronic pain associated with inflammation or irritation of the muscle or fascia around the muscle
Suspicion of Osteoporosis based on simple lumbosacral radiography (Bone Densitometry is performed to prove the disease in suspected cases)
People who have Scoliosis with a Cobb angle of more than 25 degrees
Sagittal Imbalance with (Sagittal Vertical Axis - SVA) more than 9 cm
Presence of Hip flexion contracture based on examination with Thomas test
Simultaneous surgical indication of lumbar canal stenosis and cervical canal stenosis
Pregnant women
Presence of contraindications for MRI
The patient's unwillingness to participate in the study despite explaining the benefits of the plan and the efforts of the study team to attract their participation
People who are unable to communicate in order to answer study questions, such as Deaf, Blind, Speech problems
People suffering from Mental and Psychological disorders, Mental retardation and any Psychiatric disease in the acute stage such as Psychosis, who have not been treated and are unable to cooperate
Sciatica pain radiating below the knee, work injury, litigation

Study & Design

• Study Type: interventional
• Study Design: Not specified