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Bilateral Lumbar Decompression Via Uniportal Endoscopic Laminotomy in Patients With Lumbar Spinal Stenosis: Multicentric Case Series

Recruitingn/aAges 18 Years - 74 YearsAllTecSalud Investigación Clínica
NCT07045714 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Lumbar spinal stenosis is a condition that can cause pain, sensory disturbances, and motor deficits due to the compression of neural structures in the lumbar spine. While conservative treatments such as physical therapy and pain management can help some patients, others with persistent neurological deficits may require surgical intervention. Traditional surgical approaches, including open laminectomy, have proven effective but carry risks such as extensive muscle damage, considerable blood loss, postoperative spinal instability, and prolonged recovery times. This study evaluates a minimally invasive surgical approach called unilateral laminotomy with bilateral lumbar decompression (ULBLD) using endoscopic uniportal technique as an alternative to traditional methods for patients with lumbar spinal stenosis. The main objective is to assess changes in neurological deficits and disability i

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📋 Eligibility rules (as published)
Inclusion Criteria: * Provision of informed consent to participate in the study. * Age ≥18 years and \<75 years. * Patients with lumbar spinal stenosis grade I-III according to the Lee scale. * Radicular or myelopathic symptoms. * Having undergone complete conservative management, including physical therapy and analgesia, for at least 3 months. * Patients who have opted for ULBLD using endoscopic uniportal technique for lumbar spinal stenosis. Exclusion Criteria: * Inability to read or write. * Prior lumbar surgeries at the levels to be treated. * Infectious symptoms or concomitant rheumatologic diseases. * Criteria of lumbar vertebral instability. * Congenital spinal malformations. * Disc herniation at the same lumbar level to be operated on. * Medullary hyperintensity on T2-weighted magnetic resonance imaging in the levels to be treated.
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What it tests

  • Unilateral Laminotomy with Bilateral Lumbar Decompression (ULBLD)
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Where

1 site
Hospital Zambrano Hellion, TecSalud
San Pedro Garza García, Mexico
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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