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Two-stage local anesthesia for unilateral bilateral endoscopic decompression in high-risk patients with degenerative lumbar canal stenosis: A Randomized Control Trial

Two-stage local anesthesia for unilateral bilateral endoscopic decompression in high-risk patients with degenerative lumbar canal stenosis: A Randomized Control Trial

Status
Recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2300074630
Enrollment
Unknown
Registered
2023-08-11
Start date
2022-05-01
Completion date
Unknown
Last updated
2023-08-21

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

Conditions

degenerative lumbar canal stenosis

Interventions

LA Group:LA group was performed conventional LA from the skin to the laminae. Before the UBE surgery began, the incision was infiltrated layer by layer on the skin, subcutaneous fascia, muscle, and ar
Two-stage LA Group:Phase one is a routine method of local anesthesia for lumbar surgery. Phase two of LA was performed after partial laminectomy exposing the ligamentum flavum. The spinal needle was p

Sponsors

Wuxi Ninth People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
30 Years to 80 Years

Inclusion criteria

Inclusion criteria: (1) Single-segment DLSC; (2) All patients had symptoms associated with presenting classic neurogenic intermittent claudication with lower limbs neurological impairment but no significant improvement in conservative treatment; (3) Dural sac cross-sectional area < 75 mm2 or Schizas grade C or D (severe stenosis) confirmed by T2-weighted Magnetic Resonance Imaging (MRI); (4) Lumbar spondylolisthesis=I°, and no apparent lumbar instability; (5) Lumbar scoliosis <20°.

Exclusion criteria

Exclusion criteria: (1) Spinal stenosis caused by fractures, tumors, and infections; (2) other spinal diseases, such as ossification of the posterior longitudinal ligament, thoracic stenosis, and cervical disc herniation; (3) complete paralysis of limbs; (4) surgical contraindications or refusal of surgical treatment.

Design outcomes

Primary

MeasureTime frame
Visual Analog Scale ;

Secondary

MeasureTime frame
Oswestry Disability Index ;Modified MacNab criteria ;Mean arterial pressure;Heart rate;Oxygen saturation;Significantly diseased organ system;Age;Gender;Operative time;Blood loss;Hospital stays after surgery;Perioperative complications;

Countries

China

Contacts

Public ContactZhang Shujun

Wuxi Ninth People's Hospital

spine_zhang@vip.163.com+86 138 6174 1839

Outcome results

None listed

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