Spondylolisthesis
Conditions
Keywords
spondylolisthesis, decompressive surgery, osteosynthesis
Brief summary
Study to evaluate the superiority of the osteosynthesis associated with a decompressive surgery in comparison with a simple decompressive surgery in the treatment of lumbar degenerative stenosis with spondylolisthesis
Detailed description
Randomized, comparative study on 152 patients with degenerative spondylolisthesis L4-L5 confirmed by radiography with radicular pain for whom the antalgic and anti-inflammatory treatment are not efficient for at least 3 months. Patients randomized in 2 parallel groups (each group with 76 patients) * one group with decompressive surgery + osteosynthesis * one group with decompressive surgery Study duration : 18 months, including a selection visit, an inclusion with the surgical intervention, 3, 12, 18 months' follow up visits and a follow up call at 6 months.
Interventions
Surgery without device
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with degenerative spondylolisthesis L4-L5 confirmed by radiography with radicular pain for whom the antalgic and anti-inflammatory treatment are not efficient for at least 3 months; * Patients who agree to take part in the study and to sign an Informed Consent Form
Exclusion criteria
* Contre-indications to surgery or to vertebral isolated fixation L4-L5 * Previous lumbar surgery * Work accidents * Psychiatric troubles that may interfere with the clinical evaluation * Pregnant women or women who could be pregnant during the study * Patient under special supervision or trusteeship * Refusal to sign the Informed Consent Form * No Public Health Insurance cover
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the superiority of the osteosynthesis associated with a decompressive surgery in comparison with a simple decompressive surgery in the treatment of lumbar degenerative stenosis with spondylisthesis | M3, M12, M18 |
Secondary
| Measure | Time frame |
|---|---|
| improvement of patients' Quality of Life (SF36) | M18 |
| radiologic stability of spondylolisthesis | M18 |
| safety of the used surgical procedures | M3, M12, M18 |
Countries
France