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Decompressive Laminectomy Versus Laminectomy With Transpedicular Fixation in Lumbar Spinal Stenosis

RecruitingEARLY Phase 1Ages 30 Years - 60 YearsAllPunjab Health Care Commission
NCT07281625 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 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.

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📋 Eligibility rules (as published)
Inclusion Criteria: * 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 Exclusion Criteria: * Previous history of lumbar spine surgery * Spinal malignancy * Congenital lumbar spinal stenosis, scoliosis, or kyphoscoliosis * Lumbar spondylolisthesis grade 3-5 * Significant comorbidities including diabetes mellitus or ischemic heart disease
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What it tests

  • Decompressive Laminectomy
  • Decompressive Laminectomy With Transpedicular Screw Fixation
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Where

1 site
Services Institute of Medical Sciences
Lahore, Pakistan
🤝 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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