Multilevel lumbar spine fusion surgery. Spinal stenosis
Conditions
Interventions
Intervention 1: Intervention group: In the pedicle screws group, the entry site will be at the apex of the herringbone crest and the junction of the transverse process with the lateral edge of the sup
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Male and female patients 18 years of age and older Patients with low back disease who are candidates for two- to four-level fusion surgery and whose symptoms include radiculopathy and/or nerve palsy, with or without back pain. Patients who have not responded to conservative treatment (medication and physical therapy) for at least 3 months or who have shown progressive neurological symptoms during this treatment. Patients who are willing to sign a research consent and follow-up for at least 1 year.
Exclusion criteria
Exclusion criteria: Patients with a T-Score greater than -2.5 in BMD (osteoporosis) Patients with involvement of less than two lumbar spine levels or more than four levels History of lumbar fusion surgery or active local/systemic infection or fracture Pregnant patients Inability to adhere to the 1-year follow-up schedule Use of glucocorticoids or immunosuppressive drugs Spondylolisthesis with Myroding grade = III or IV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The patient's degree of functional disability in daily activities. Timepoint: At intervals before surgery/at discharge/one month after surgery/three months after surgery/one year after surgery. Method of measurement: ODI questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Facet joint injury rate. Timepoint: After surgery. Method of measurement: CT scan.;Screw placement accuracy. Timepoint: After surgery. Method of measurement: CT scan.;Fusion rate. Timepoint: At three and twelve months after surgery. Method of measurement: Ct scan.;Loosening of screws. Timepoint: At three and twelve months after surgery. Method of measurement: Ct scan. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Doustkani
Tehran University of Medical Sciences
Outcome results
None listed