Effectiveness of Percutaneous Foraminotomy
1 other identifier
interventional
20
1 country
1
Brief Summary
Percutaneous Extraforaminotomy using BS extraforamonotomy kit(BioSpine Co.,Ltd, Seoul, South Korea), was performed in patients who did not show improvement lasting more than 1 month after diagnostic conventional fluoroscopically guided transforaminal epidural block with local anesthetic and steroid. Numeric rating scale(NRS) pain score, Oswestry disability index (ODI), Roland-Morris Disability Questionnaire (RDQ), claudication distance(CD) was checked before and after the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 6, 2015
CompletedFirst Posted
Study publicly available on registry
November 5, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedNovember 5, 2015
November 1, 2015
1.6 years
October 6, 2015
November 3, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
NRS score
A comparison of the mean difference in the change of NRS scores of their leg pain from entry to the scores at 4-week
4 weeks after intervention
Secondary Outcomes (5)
NRS score
8, 12 weeks after intervention
Oswestry disability index(ODI)
4, 8 and 12 weeks after intervention
5-point satisfaction scale
4, 8 and 12 weeks
Any adverse events
Throughout the study period (up to 12 weeks)
Roland-Morris Disability Questionnaire(RDQ)
4, 8 and 12 weeks after intervention
Study Arms (1)
Treatment group
EXPERIMENTALPercutaneous Extraforaminotomy using BS extraforamonotomy kit(BioSpine Co.,Ltd, Seoul, South Korea)
Interventions
percutaneous dissecting of the lumbar extraforaminal and foraminal region with BS extraforamonotomy kit(BioSpine Co.,Ltd, Seoul, South Korea) under fluoroscopy
Eligibility Criteria
You may qualify if:
- radicular pain with positive provocation factors \> 3 months
- Radicular pain at L4 or L5
- Presence of dominant side when bilateral symptom present
- Positive provocation factors: leg symptoms elicited or aggravated by walking but relieved by sitting down
- Not appropriate relief of pain routinely conservative treatment (physiotherapy, exercise, analgesic medication, epidural steroid injection) \> 3 months
- Magnetic resonance imaging(MRI) : Foraminal stenosis of Grade 1-3 (foraminal herniated intervertebral disc(HIVD) with mild to severe degree of foraminal stenosis according to AJR:194, April 2010 by Lee, et. Al)
- Subjects who signed for the consent form
You may not qualify if:
- Acute back or leg pain
- Sings of progressive neurologic deficits, including muscle atrophy and abnormal tendon reflexes
- Patients with a history of prior spine surgery
- Allergic response to steroid or contrast dye
- Bleeding diathesis or over coagulopathy
- Patients with bilateral radiculopathy or spinal stenosis at more than 3 levels
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Seoul National University Hospitallead
- BioSpine Co., Ltd.collaborator
Study Sites (1)
Seoul National University Hospital
Seoul, 110-744, South Korea
Related Publications (1)
Cooper G, Lutz GE, Boachie-Adjei O, Lin J. Effectiveness of transforaminal epidural steroid injections in patients with degenerative lumbar scoliotic stenosis and radiculopathy. Pain Physician. 2004 Jul;7(3):311-7.
PMID: 16858467RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sangchul Lee, MD, PhD
Seoul National University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- professor
Study Record Dates
First Submitted
October 6, 2015
First Posted
November 5, 2015
Study Start
June 1, 2014
Primary Completion
January 1, 2016
Study Completion
January 1, 2016
Last Updated
November 5, 2015
Record last verified: 2015-11