Comparing the effectiveness of midline and parasagittal interlaminar methods of epidural steroid injection in patients with lumbar spinal stenosis pain

Comparison of the effectiveness of Interlaminar midline and translaminar parasagittal steroid epidural injection in patients with lumbar spinal stenosis pain

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20131124015515N11

Enrollment

Registered

2023-03-06

Start date

2023-03-10

Completion date

Unknown

Last updated

2023-03-13

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

Conditions

spinal stenosis with chronic pain. Spinal stenosis, lumbar region is a medical classification as listed by WHO under the range

Interventions

Intervention 1: Intervention group: Epidural injection is performed by parasagittal interlaminar method with a 15 cm long No. 22 spinal needle. The correct operation of the needle under fluoroscopic v

Eligibility

Sex/Gender

All

Age

50 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients with consent to participate in the study Age 50 years and above Radiculopathy Confirming the diagnosis of lumbar spinal stenosis based on clinical examinations and radiographic findings Evidence of lumbar spinal stenosis based on MRI according to Boden criteria Patients suffering from moderate back pain and disability related to neurogenic lameness caused by central spinal stenosis. Candidate patients for epidural steroid injection Focal tenderness above the lumbar joint Hyperextension pain No history of neurological defects Contraindications for back surgery Failure to respond to traditional treatments (rest, drug therapy, physical therapy)

Exclusion criteria

Exclusion criteria: Foraminal and lateral recess stenosis without central canal stenosis History of epidural steroid injection in the last six months Coagulation disorders Sensitivity to steroid or local anesthetic solution Malignancy Psychiatric problems and patient non-cooperation Speech problems Pregnancy Surgical indication Local skin infections in the operation area Deformity of the spine History of lumbar spine surgery Cauda equina syndrome Vertebral fracture, tumor or infection in the spine Inflammatory spondylopathy

Design outcomes

Primary

Measure	Time frame
Visual Analogue Scale (VAS) score (0 = no pain, 1-3 mild pain, 4-7 moderate pain and 8-10 severe pain). Timepoint: Before, one month and three months after injection. Method of measurement: Ask the patient.;Disability with the Oswestry Disability Index questionnaire. Timepoint: Before, one month and three months after injection. Method of measurement: Ask the patient.	—

Secondary

Measure	Time frame
Patient satisfaction. Timepoint: One month and three months after injection. Method of measurement: Ask the patient.	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMasoud Hashemi MD.

Shahid Beheshti University of Medical Sciences

dr.hashemi@sbmu.ac.ir+98 21 7755 8001

Outcome results

None listed

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