Irrigation Endoscopic Decompression
- Conditions
- Lumbar Spinal Canal Stenosis
- Interventions
- Procedure: Irrigation Endoscopic Decompressive Laminotomy
- Registration Number
- NCT02254590
- Lead Sponsor
- Cairo University
- Brief Summary
To evaluate a new endoscopic technique for lumbar spinal canal decompression.
- Detailed Description
104 consecutive patients suffering of neurogenic claudication were included in the study.
Patients were operated using the irrigation endoscopic decompression technique. Mean Follow up was 28 months Primary outcome measures were assessed using the Oswestry Disability Index \[19\] and the modified Macnab Criteria All statistical calculations were done using computer programs SPSS (Statistical Package for the Social Science; SPSS Inc., Chicago, IL, USA) version 15 for Microsoft Windows
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 104
- Neurogenic claudication or radicular leg pain with or without back pain, and/or a neurological deficit
- Symptoms and signs correlating with moderate to severe spinal canal stenosis as shown on MRI. (Degenerative and congenital bony stenosis were included)
- Failure of 3 months conservative treatment
- Grade I degenerative spondylolisthesis and degenerative scoliosis
- Segmental Instability
- Lytic Spondylolisthesis
2- Predominant low back pain
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description IEDL Irrigation Endoscopic Decompressive Laminotomy Endoscopic decompression of spinal stenosis
- Primary Outcome Measures
Name Time Method Oswestry Disability Index 24 months Measurement of pain intensity, personal care, sitting, standing, walking, lifting,sleeping, sex life, social life, travelling
Modified Macnab criteria 24 months patient satisfaction, the need for medications, ability to return to activity
- Secondary Outcome Measures
Name Time Method Time for ambulation 72 hours postoperative time required to start ambulation
Time for hospitalization 72 hours postoperative hospital stay till discharge
VAS for back pain 72 hours Pain intensity on scale from 0-10