Lumbar Spinal Stenosis, Radiculopathy
Conditions
Keywords
Decompression, Surgical, x-stop, lumbar decompression, spinal stenosis, radiculopathy
Brief summary
The purpose of this study is to compare two surgery methods on lumbar spinal stenosis: minimal invasive decompression and X-stop. It is a prospective randomized multicenter study including patients with lumbar spinal stenosis on one or two levels, and neurogenic intermittent claudication. Effect assessment will include measures of pain and self-evaluated health condition, a full economical evaluation, and areal measurements (MR imaging and roentgen analyses)
Interventions
foraminotomy, laminotomy, microscopic decompression
Interspinous device
Sponsors
Study design
Eligibility
Inclusion criteria
* neurogenic intermittent claudication due to lumbar spinal stenosis * diagnosed on MRI in maximum two levels * walking distance on 250 metres * symptom relief on flexion of the lumbar spine * duration of the symptoms more than 6 months * non-operative treatment is tried or considered as not indicated
Exclusion criteria
* vascular claudicatio intermittens * spinal stenosis on more than 2 levels * cauda equina syndrome * severe paresis * clinical monoradiculopathy * grave scoliosis * previous lumbar surgery * degenerative spondylolisthesis more than 25% * spondylolysis with listhesis * osteoporotic fracture in lumbal column * clinical and radiological (both) arthritis in the hip joint * ASA \>3 * verified polyneuropathy on neurophysiological test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Claudication | 2 years | Zürich Claudication Questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| self-evaluated health condition | 2 years | SF36, Oswestry Disability Index (ODI), EQ5-D and VAS scale |
Countries
Norway