Selection of Chronic Low Back Pain Patients for Neurotomy Surgery Radiofrequency

NCT ID: NCT05624307

Last Updated: 2022-12-12

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

160 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-11-21

Study Completion Date

2024-05-15

Brief Summary

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Chronic low back pain is one of the leading causes of disability associated with significant health care costs. One possible management of chronic low back pain of facet origin is neurotomy-radiofrequency (NT-RF) intervention. Currently, to determine whether a patient is eligible for NT-RF, two positive block tests are required.

Clinical examination with a homolateral extension-rotation-tilt maneuver of the spine (ERI maneuver) would have the potential to identify subjects with pain of facet origin. It could therefore be a simple and effective diagnostic tool in the evaluation of a patient with low back pain and help in the decision whether or not to perform a test block by local infiltration of the zygapophyseal joint prior to an NT-RF procedure.

The purpose of this longitudinal, prospective, observational, single-center study is to evaluate the performance of the combined extension-rotation-lateral tilt maneuver (ERI maneuver) in predicting the response to neurotomy-radiofrequency intervention in patients with chronic low back pain.

The included patients will answer 5 questionnaires, in addition to the usual clinical data:

* Hospital Anxiety and Depression scale (HAD) questionnaire,
* Quality of life questionnaire EQ-5D-5L,
* Brief Pain Inventory - French version: Questionnaire Concis de la Douleur (QCD),
* Functional Impotence Scale for Low Back Pain: The Quebec Back Pain Disability Scale
* Clinical Global Impression of Change (CGI-C)

Detailed Description

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Conditions

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Pain;Back Low;Chronic

Keywords

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Radiofrequency Facet pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patient with chronic back pain

Patients admitted to the chronic pain service at the Calot Institute with chronic low back pain for at least three months, not responding to well-conducted conservative treatment

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients admitted to the chronic pain service at the Calot Institute with chronic low back pain for at least three months, not responding to well-conducted conservative treatment
* Age 18 - 65 years
* Patient did not object to the use of their data
* Patient affiliated to a social security plan


* Patient with a disorder of hemostasis
* Patient with a history of arthrodesis
* Patient with radiologically visible root damage
* Patient with instability of the spine
* Patient with an abnormality on dorso-lumbar MRI: MODIC 1
* Patient under legal protection :

* Person under guardianship,
* Person under curatorship,
* Person under legal protection,
* Person deprived of liberty,
* Pregnant or breastfeeding woman
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FondationbHopale

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas OLIVIERI

Role: PRINCIPAL_INVESTIGATOR

Hopale Foundation - Calot Institute

Locations

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Bruno VEYS

Berck, Hauts-de-France, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Bruno VEYS

Role: CONTACT

Phone: 0362882747

Email: [email protected]

Marine DESEUR

Role: CONTACT

Phone: 0362882780

Email: [email protected]

Facility Contacts

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Bruno VEYS

Role: primary

Marine DESEUR

Role: backup

Other Identifiers

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HOP22-RIPH3-02

Identifier Type: -

Identifier Source: org_study_id