The Effect of Additional Transforaminal Epidural Blocks in Percutaneous Epidural Neuroplasty

NCT ID: NCT03867630

Last Updated: 2019-05-13

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

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-05-10

Study Completion Date

2019-06-30

Brief Summary

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Percutaneous epidural neuroplasty (PEN) is an effective interventional treatment for radicular pain. But in some cases with wire catheter like Racz catheter, contrast runoffs were not shown to the foramen. This study will show that contrast runoff will affect the results of PEN and in cases which contrast runoff are not shown, additional transforaminal epidural blocks will affect the results of PEN by reviewing medical record, retrospectively.

Detailed Description

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Medical records will be investigated in cases of PEN with wire type catheter from May 2016 to August 2018. About one hundred cases will be enrolled. Analysis will be performed. It will be compared 1) Success rate of Runoff group and Nonrunoff group in lumbar spine, 2) Success rate of Runoff group and Nonrunoff-NonTransforaminal group in lumbar spine. 3) Success rate of Runoff group with nonrunoff-transforaminal group and Nonrunoff-NonTransforaminal group in lumbar spine. 4) Success rate of Nonrunoff-Transforaminal group and Nonrunoff-NonTransforaminal group in lumbar spine.

Conditions

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Lumbar Spinal Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Runoff Group

Runoff group are the patients whose images were shown root shadow by contrast media.

No interventions assigned to this group

Nonrunoff-Transforaminal group

Nonrunoff-Transforaminal group are the patients whose images are not shown root shadows by contrast media, so additional transforaminal blocks are done.

Transforaminal Block

Intervention Type PROCEDURE

Epidural block via neural foramen of lumbar spine

Nonrunoff-NonTransforaminla group

Nonrunoff-NonTransforaminal group are the patients whose images are not shown root shadows by contrast media, but no additional transforaminal blocks are done.

No interventions assigned to this group

Interventions

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Transforaminal Block

Epidural block via neural foramen of lumbar spine

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 20 to 80 years old
* Patients with a herniated disc, spinal stenosis
* Patients with chronic low back pain and lower extremity pain who did not respond to lumbar epidural steroid injections
* Patients who are performed percutaneous epidural neuroplasty with wire type catheter.

Exclusion Criteria

* Incomplete medical record
* Contraindication to percutaneous epidural neuroplasty
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ajou University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Jong Bum Choi

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Gil HY, Lee SY, Min SK, Kim JE, Lee HS, Jeong HW, Park B, Choung J, Choi JB. The effect of additional transforaminal epidural blocks on percutaneous epidural neuroplasty with a wire-type catheter: A retrospective observational study. Medicine (Baltimore). 2019 Dec;98(50):e18233. doi: 10.1097/MD.0000000000018233.

Reference Type DERIVED
PMID: 31852086 (View on PubMed)

Other Identifiers

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AJIRB-MED-OBS-18-554

Identifier Type: -

Identifier Source: org_study_id

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