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

eurofunctional Research Center of Shohada Tajrish Hospital0 个研究点目标入组 76 人开始时间: 待定最近更新: 2023年2月7日

适应症

试验速览

暂无简介。

•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).

•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

发起方

eurofunctional Research Center of Shohada Tajrish Hospital