Unique ID issued by UMIN | UMIN000022460 |
---|---|
Receipt number | R000025883 |
Scientific Title | Controlled study of posterior decompression and posterior fusion for the lumbar degenerative spondylolisthesis |
Date of disclosure of the study information | 2016/05/26 |
Last modified on | 2019/03/29 01:24:58 |
Controlled study of posterior decompression and posterior fusion for the lumbar degenerative spondylolisthesis
Controlled study of posterior decompression and posterior fusion for the lumbar degenerative spondylolisthesis
Controlled study of posterior decompression and posterior fusion for the lumbar degenerative spondylolisthesis
Controlled study of posterior decompression and posterior fusion for the lumbar degenerative spondylolisthesis
Japan |
Lumbar degenerative spondylolisthesis
Orthopedics |
Others
NO
Surgical treatment for the lumbar degenerative spondylolisthesis (DS) is commonly performed.
In general, decompression with fusion for the patient with severe slippage or instability has reached consensus. Operative procedure for the patient without severe slippage is still in discussion; decompression alone or that with fusion. Some previous studies showed no significant difference between them in clinical results or complication rates. On the other hand, some studies showed decompression with fusion have advantages in clinical results, and some showed differences in complication rates. The purpose of this study is to clarify the existence of superiority in two procedures for the DS patients without severe slippage.
Safety,Efficacy
Exploratory
Pragmatic
Not applicable
Evaluate the efficacy of treatment using clinical scores below preoperatively, postoperative 3months, 6months, 1year, and 2years; Rolland-Morris Disability Questionnaire(RDQ), Oswestry Disability Index (ODI) 2.0, Visual Analogue Scale (VAS)of low back pain and leg pain
Reoperation rate, complication rate of surgery (infection, hematoma, dural tear, restenosis, progression of slippage, adjacent segmental disease, nonunion), medical complication (heart failure, pneumonia, renal failure, etc)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
2
Treatment
Maneuver |
Posterior lumbar decompression
Posterior lumbar interbody fusion/ Transforaminal lumbar interbody fusion
Not applicable |
Not applicable |
Male and Female
Patients with single level spondylolisthesis (slippage at least 3mm in flexion position, and %slip less than 25%), who have leg neurological symptoms (pain, numbness, and so on) resistant to conservative therapy
Patients who cannot get MRI, patients with previous lumbar surgery, patients with foraminal stenosis at the slippage level and neurological symptoms of same level, patients with degenerative lumbar scoliosis (Cobb angle >20 degrees), patients whose QOL assessment is significantly difficult because of comorbid illness such as Parkinson's disease, Renal failure requiring dialysis, dementia, etc
100
1st name | Takamasa |
Middle name | |
Last name | Watanabe |
Hakodate central general hospital
Department of orthopedic surgery
0408585
33-2 honcho, Hakodate city, Hokkaido
0138-52-1231
penyomasa@gmail.com
1st name | Takamasa |
Middle name | |
Last name | Watanabe |
Hakodate central general hospital
Department of orthopedic surgery
0408585
33-2 honcho, Hakodate city, Hokkaido
0138-52-1231
penyomasa@gmail.com
Hakodate central general hospital, Department of orthopedic surgery
None
Other
IRB of Hakodate Central General Hospital
33-2 honcho, Hakodate city, Hokkaido
0138-52-1231
saito-h@hakochu-hp.gr.jp
NO
函館中央病院(北海道)
2016 | Year | 05 | Month | 26 | Day |
Unpublished
40
No longer recruiting
2016 | Year | 05 | Month | 07 | Day |
2016 | Year | 05 | Month | 26 | Day |
2016 | Year | 05 | Month | 26 | Day |
2020 | Year | 09 | Month | 19 | Day |
2016 | Year | 05 | Month | 25 | Day |
2019 | Year | 03 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025883