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Evaluation of the Clinical Efficacy of Transforaminal Endoscopic Cross-over-top Decompression And Endoscopic Unilateral Laminotomy And Bilateral Decompression for the Treatment of Severe Lumbar Spinal Stenosis

Evaluation of the Clinical Efficacy of Transforaminal Endoscopic Cross-over-top Decompression And Endoscopic Unilateral Laminotomy And Bilateral Decompression for the Treatment of Severe Lumbar Spinal Stenosis

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2400087936
Enrollment
Unknown
Registered
2024-08-07
Start date
2024-04-10
Completion date
Unknown
Last updated
2024-08-12

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

Conditions

Severe lumbar spinal stenosis

Interventions

Cross-over-top Group:None
Endo-ULBD Group:None

Sponsors

The Sixth Medical Center of the General Hospital of the People's Liberation Army
Lead Sponsor

Eligibility

Sex/Gender
All
Age
53 Years to 88 Years

Inclusion criteria

Inclusion criteria: ? According to the diagnostic criteria of "Practical Orthopedics", clinical symptoms are characterized by compression of the dural sac and bilateral or bilateral nerve roots caused by spinal canal stenosis, intermittent neurogenic claudication with or without lower limb pain and numbness; ? Diagnosed by imaging as lumbar spinal stenosis, classified according to Schizas criteria as severe lumbar spinal stenosis, clinically manifested as disappearance of epidural fat and dural sac morphology, inability to recognize the cauda equina nerve bundle; ? Those who have received formal conservative treatment for more than 3 months without improvement have indications for surgery; ? The clinical data is complete.

Exclusion criteria

Exclusion criteria: ? Merge moderate to severe lumbar spondylolisthesis, lumbar deformities or tumors, or merge with other vascular diseases; ? Patients with cauda equina syndrome; ? Severe spinal infection; ? There are contraindications for surgery or anesthesia; ? Poor cardiopulmonary function and inability to tolerate surgery; ? Mental abnormalities or refusal to receive follow-up.

Design outcomes

Primary

MeasureTime frame
Visual Analog Scale;Oswestry Disability Index, ODI ;Japanese Orthopaedic Association,JOA;

Secondary

MeasureTime frame
MacNab scale;the responsible segmental spinal canal;

Countries

China

Contacts

Public ContactBai Jie

The Sixth Medical Center of the General Hospital of the People's Liberation Army

527408268@qq.com+86 185 6500 2765

Outcome results

None listed

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