Degenerative Lumbar Spinal Stenosis, Neurologic Intermittent Claudication
Conditions
Brief summary
Purpose To evaluate clinical and radiologic outcome of a series of patients treated with a removable percutaneous interspinous process spacer (IPS) (LobsterProject® Techlamed®) for symptomatic degenerative lumbar spinal stenosis (DLSS). Methods All patients treated in the two considered Centres with this IPS during 2019 were retrospectively reviewed. Patients with incomplete clinical or radiological documentation were not included. Procedures were performed under deep sedation or general anaesthesia by two interventional radiologists. Patients were clinically evaluated before intervention and at 3-month follow-up with Visual Analog Scale for pain (VAS), Oswestry Disability Index (ODI) and radiologically with MRI or CT scans. Neural foramina were independently measured for each patient on pre- and post-procedural CT scans by two radiologists.
Interventions
percutaneous removable interspinous process spacer a neurologic intermittent clauditation due to a degenerative lumbar spinal stenosis.
Sponsors
Study design
Eligibility
Inclusion criteria
* removable percutaneous IPS treatment * attended interventional radiology outpatient consultations for back pain and NIC, refractory to medical treatment
Exclusion criteria
* PS positioning included cauda equina syndrome * permanent motor deficit, * previous spine surgery, * spondylolisthesis greater than Meyerding grade I, * local or systemic infection and severe osteoarthritis with pronounced osteophytosis or bone bridges
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability Index | Baseline | Disability level evaluated with Oswestry Disability Index before intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale for pain | Baseline | Pain level from 0 (no pain) to 100 (unbearable pain) before intervention |
| Variation of foraminal area | Baseline | Variation of cross sectional area of neural foramina of the treated level on pre-procedural and post-rocedural CT scan |
Countries
France