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Comparison of 2 techniques of spinal anesthesia in more than 65 year with degenerative disc desease

Comparison of paramedian vs paraspinous approach for subarachnoid block in elderly patients with degenerative spine disease undergoing total knee arthroplasty - TTS

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/08/093538
Enrollment
100
Registered
2025-08-25
Start date
Unknown
Completion date
Unknown
Last updated
2026-01-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M478- Other spondylosis

Interventions

Intervention1: Paraspinous approach of subarachnoid block: The spinal needle is inserted at 0-5 degree angle , 1-2 cm from the midline of spinous process Control Intervention1: Paramedian approach of

Sponsors

None listed

Eligibility

Inclusion criteria

Inclusion criteria: Patients aged 65 years or older. Diagnosis of degenerative spine disease confirmed by imaging. ASA Physical Status Classification 1-3. Scheduled for a surgical procedure suitable for subarachnoid block.

Exclusion criteria

Exclusion criteria: Known contraindications to subarachnoid block. Coagulopathy or anticoagulant therapy. Severe spinal deformity beyond degenerative changes. Known allergy to local anesthetics.

Design outcomes

Primary

MeasureTime frame
To compare the number of attempts required for successful sub arachnoid block with paramedian and paraspinous approaches in elderly patients with degenerative spine disease.Timepoint: 0-10 minutes—

Secondary

MeasureTime frame
To assess procedure time, patient comfort, & incidence of complications (PDPH, Backache) in both approaches.Timepoint: day 1 & day 3 for PDPH & Bachache—

Countries

India

Contacts

Public ContactNEHA GARG

AIIMS

neha.dr.garg@gmail.com9711896795

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026