Health Condition 1: M480- Spinal stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Radiologically confirmed degenerative lumbar spondylolisthesis with moderate-to-severe central canal stenosis. 2. Planned transforaminal lumbar interbody fusion (minimally invasive or open). 3. Single-level or multilevel fusion (two or more levels as clinically indicated; no upper limit). 4. Willing and able to provide consent and comply with postoperative follow-up.
Exclusion criteria
Exclusion criteria: 1. History of prior lumbar instrumentation or decompression at the index level. 2. Presence of lumbar spine trauma, infection, neoplasm, or major spinal deformity (e.g., scoliosis greater than 20 Cobb angle). 3. Contraindication to magnetic resonance imaging (e.g., pacemaker, metallic implant incompatible with MRI). 4. Patient refusal to participate or inability/unwillingness to complete scheduled follow-up evaluations.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To quantify changes in back and leg pain (10-cm Visual Analogue Scale) and disability (Oswestry Disability Index) from baseline to the immediate postoperative period, postoperative day 1, postoperative day 2, and at 3, 6, and 12 months. To measure radiological changes on MRI including dural sac cross sectional area and spinal canal cross sectional area, at baseline, 6 months, and 12 months. To correlate radiologic improvement, particularly change in dural sac cross sectional area, with clinical and functional recovery measured by the Visual Analogue Scale and the Oswestry Disability Index at matched time points. Timepoint: All enrolled patients will be prospectively evaluated at baseline (Day 0, date of surgery) and followed up at 3, 6 and 12 months postoperatively for serial clinical, functional, and radiological assessments | — |
Secondary
| Measure | Time frame |
|---|---|
| NIL.Timepoint: NIL. | — |
Countries
India
Contacts
Stavya Spine Hospital And Research Institute