A Randomized Controlled Trial Comparing Surgical Outcomes of Decompressive Laminectomy Versus Decompressive Laminectomy With Transpedicular Screw Fixation in Multilevel Lumbar Spinal Stenosis

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Early Phase 1
SUMMARY

Lumbar spinal stenosis is a condition where the spinal canal becomes narrowed and can cause symptoms such as back pain, numbness, leg pain, and difficulty walking. Surgery is often considered when symptoms do not improve with medical treatment. This study will compare two types of surgery used to treat lumbar spinal stenosis: decompressive laminectomy alone and decompressive laminectomy with transpedicular screw fixation. Patients will be randomly assigned to one of the two surgical options. The purpose of this study is to determine which approach provides better pain relief, improved function, fewer complications, and better spinal stability after surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 30
Maximum Age: 60
Healthy Volunteers: f
View:

• Age 30-60 years

• Diagnosis of lumbar spinal stenosis based on MRI criteria (anteroposterior canal diameter \<10-15 mm or cross-sectional area \<75-145 mm²)

• Multilevel disc herniation

• Degenerative disc disease with Pfirrmann grade 3-5 on T2-weighted MRI

• Failure of at least six weeks of conservative treatment

Locations
Other Locations
Pakistan
Services Institute of Medical Sciences
RECRUITING
Lahore
Contact Information
Primary
Hira Umar, MBBS
quickcareclinicdr03@gmail.com
+92 317 4226862
Backup
Fazal Rehman, MBBS
fazal171@gmail.com
03227793559
Time Frame
Start Date: 2025-10-01
Estimated Completion Date: 2025-12-31
Participants
Target number of participants: 60
Treatments
Active_comparator: Decompressive Laminectomy Only
Surgical decompressive laminectomy performed without instrumented fixation in patients with multilevel lumbar spinal stenosis.
Experimental: Laminectomy With Transpedicular Screw Fixation
Surgical decompressive laminectomy combined with transpedicular screw fixation to provide additional spinal stability in patients with multilevel lumbar spinal stenosis.
Related Therapeutic Areas
Sponsors
Leads: Punjab Health Care Commission

This content was sourced from clinicaltrials.gov