Sagittal Imbalance and Lumbar Stenosis Surgery: Decompression Without Implant

NCT ID: NCT03065452

Last Updated: 2026-02-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

72 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-11-30

Study Completion Date

2016-05-31

Brief Summary

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Lumbar stenosis (LSS) is the most frequent degenerative lumbar disease and is the most frequent indication for spinal surgery. When non-invasive treatments fail, decompression surgery is the gold standard therapy for the majority of patients and generally improves symptoms.

However, few studies have investigated the improvement in posture (radiological parameters) after surgery. In lumbar stenosis, patients may present a forward leaning posture (to relieve pain), which is responsible for sagittal imbalance.

The aim of this prospective study was to evaluate the repercussions of decompression surgery on sagittal balance and to compare these with aux clinical results. investigators included patients operated on for isolated lumbar canal stenosis.

Detailed Description

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Conditions

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Lumbar Stenosis, Familial

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients who underwent open decompression surgery

Observational study on patients who underwent open decompression surgery

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Symptoms and signs of neurogenic claudication and radiological signs of central lumbar stenosis;
2. Patients undergoing open decompression surgery ≤ 3 levels,
3. All patients with symptoms that did not respond to at least 3 months of non-invasive treatment.

Exclusion Criteria

Patients were excluded from the study if they had one or several of the following clinical and/or radiological criteria:

1. spondylolisthesis (disc slip \> 5 mm),
2. criteria showing instability (variation of \> 10° in the angle formed by the vertebral endplates on dynamic images).
3. scoliosis (Cobb angle \> 20 °).
4. Patients lost to follow-up were excluded.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Dijon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Chu de Dijon

Dijon, , France

Site Status

Countries

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France

References

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Madkouri R, Brauge D, Vidon-Buthion A, Fahed E, Mourier KL, Beaurain J, Grelat M. Improvement in Sagittal Balance After Decompression Surgery without Fusion in Patients with Degenerative Lumbar Stenosis: Clinical and Radiographic Results at 1 Year. World Neurosurg. 2018 Jun;114:e417-e424. doi: 10.1016/j.wneu.2018.03.002. Epub 2018 Mar 10.

Reference Type RESULT
PMID: 29530708 (View on PubMed)

Other Identifiers

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MADKOURI-BEAURAIN 2016

Identifier Type: -

Identifier Source: org_study_id

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