Clinical and biomechanical outcomes following decompression of central canal and lateral recess simultaneous stenosis, with a focus on multilevel stenosis: A randomized comparison of microscopic bilateral laminotomy versus total laminectomy with posterior spinal fusion.

Not Applicable

Recruiting

• Conditions: Patients with multilevel spinal canal stenosis, simultaneous stenosis of the central canal, and lateral recess..; M48.0; Spinal stenosis

• Registration Number: IRCT20190126042496N3
• Lead Sponsor: eurofunctional Research Center of Shohada Tajrish Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 7 February 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

Between 30- and 75-year-old age
Multi-level canal stenosis (= 3 levels)
Stenosis of both the central canal (mild to moderate) and the lateral recess simultaneously.
Failure of conservative therapy for radicular pain after six months.
Radicular pain predominates over claudication(mild).

Exclusion Criteria

Patients with severe stenosis of the central canal.
Patients with severe neurogenic claudication suffer from leg pain that limits their ability to stand or walk.
Extruded discs or those requiring discectomy
Osteoporotic patients with a T score < -1.5
Previous spinal surgery history (laminotomy , laminectomy, or posterior spinal fusion )
Serious medical conditions such as congestive heart failure, cirrhosis, and other chronic diseases that preclude surgical procedures.
Even though patients develop cardiac, renal, or pulmonary disorders during the study, they will be excluded.
Current metabolic or rheumatologic and inflammatory disorders requiring corticosteroid consumption.
Spinal deformity

Study & Design

• Study Type: interventional
• Study Design: Not specified