Clinical outcome of lumbar spinal stenosis with unilateral symptoms undergoing full-endoscopic unilateral decompression compared to bilateral over-the-top decompression, Randomized controlled trial

Graduate Affairs, Faculty of Medicine, Chulalongkorn University0 sites52 target enrollmentAugust 10, 2024

Overview

No summary available.

Registry

who.int

Start Date

August 10, 2024

End Date

December 31, 2026

Last Updated

last year

Study Type

Interventional

Sex

All

Sponsor

Graduate Affairs, Faculty of Medicine, Chulalongkorn University

•1\. Patients have unilateral lumbar radiculopathy symptom
•2\. Patients have severe spinal stenosis, defined by Dural cross\-sectional area(DCSA) \< 75 mm2, and the pathology from MRI correlates with the symptom.
•If patient has single level of radicular symptom but has multiple sites of stenosis, the patient will be included and the intervention will target the level that correlates with the symptom.
•If patient has multiple sites of stenosis and multiple level of symptoms or unidentified as single level, the patient will not be included in the study.

•1\. Patient also has Neurologic claudication symptom
•2\. Patient has Cauda equina syndrome
•3\. Instability of the spine , defined as the X\-ray shows Spondylolisthesis more than grade 1 or Dynamic Lumbar X\-ray shows Translation \>4 mm, angulation change \>10 degree on flexion\-extension radiograph.
•4\. Patient has history of spinal infection
•5\. Patient has prior surgery of the Lumbar spine
•6\. Patient has prior spinal trauma less than 6 month
•7\. Patient cannot communicate