Epidural Neuroplasty Using Racz Catheter During Lumbar Fixation in Situ for Lumbosacral Spondylolisthesis

NCT ID: NCT06684821

Last Updated: 2025-04-23

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

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-14

Study Completion Date

2025-04-17

Brief Summary

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This study aims to evaluate the analgesic efficacy of epidural neuroplasty using a Racz catheter during lumber fixation in situ for lumbosacral spondylolisthesis.

Detailed Description

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Lumbosacral spondylolisthesis, a common neurosurgical disorder, involves the anterior displacement of a vertebra in relation to the one below it. It often leads to back pain and neurologic symptoms.

Epidural lysis of adhesions is a procedure which treat chronic LBP in patients which didn't respond to medical treatments.The technique of Radiofrequency ablation (RFA) uses high-frequency current to produce tissue coagulation and heat. It involves the use of radio waves, applied through a percutaneous probe to generate heat and create a lesion in a spinal sensory nerve

Conditions

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Analgesic Efficacy Epidural Neuroplasty Racz Catheter Lumbar Fixation Lumbosacral Spondylolisthesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Racz catheter group

Patients will undergo epidural neuroplasty using Racz catheter during lumber fixation.

Group Type EXPERIMENTAL

Racz catheter

Intervention Type PROCEDURE

Patients will undergo epidural neuroplasty using Racz catheter during lumber fixation.

Control group

Patients will undergo classic lumber fixation.

Group Type ACTIVE_COMPARATOR

Classic lumber fixation

Intervention Type PROCEDURE

Patients will undergo classic lumber fixation.

Interventions

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Racz catheter

Patients will undergo epidural neuroplasty using Racz catheter during lumber fixation.

Intervention Type PROCEDURE

Classic lumber fixation

Patients will undergo classic lumber fixation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age from 18 to 65 years.
* Both sexes.
* Patients suffering from spondylolisthesis grade 0, 1, 2 complaining of low back pain and/or sciatica.

Exclusion Criteria

* Uncooperative patients.
* Patients in need of discectomy for lumber disc prolapse.
* Patients with severe canal stenosis and in need of spinal laminectomy.
* Contraindications to perform the proper technique e.g., coagulopathy and skin infection.
* Body mass index (BMI) ≥35 kg/m2.
* History of allergy to contrast medium.
* Previously operated traditional spine surgeries.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Mohammed Said ElSharkawy

Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tanta University

Tanta, El-Gharbia, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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36264PR903/10/24

Identifier Type: -

Identifier Source: org_study_id

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