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Irrigation Endoscopic Decompression

Not Applicable
Completed
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
Inclusion Criteria
  1. Neurogenic claudication or radicular leg pain with or without back pain, and/or a neurological deficit
  2. Symptoms and signs correlating with moderate to severe spinal canal stenosis as shown on MRI. (Degenerative and congenital bony stenosis were included)
  3. Failure of 3 months conservative treatment
  4. Grade I degenerative spondylolisthesis and degenerative scoliosis
Exclusion Criteria
  1. Segmental Instability
  2. Lytic Spondylolisthesis

2- Predominant low back pain

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
IEDLIrrigation Endoscopic Decompressive LaminotomyEndoscopic decompression of spinal stenosis
Primary Outcome Measures
NameTimeMethod
Oswestry Disability Index24 months

Measurement of pain intensity, personal care, sitting, standing, walking, lifting,sleeping, sex life, social life, travelling

Modified Macnab criteria24 months

patient satisfaction, the need for medications, ability to return to activity

Secondary Outcome Measures
NameTimeMethod
Time for ambulation72 hours

postoperative time required to start ambulation

Time for hospitalization72 hours

postoperative hospital stay till discharge

VAS for back pain72 hours

Pain intensity on scale from 0-10

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