Comparison of Lateral Decubitus and Upright Sitting Positions in Measuring Intervertebral Space Via Ultrasound in Obese Volunteers

NCT07315451 | Enrolling By Invitation

• 1 other identifier: 2021-120
• Study Type: observational
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to compare the lateral decubitus and upright sitting positions in determining the intervertebral space measured by ultrasound in participants whose body mass index was greater than 30 and older than eighteen years old. Additionally, comparison of the sagittal and long-axis paramedian oblique planes in determining the intervertebral space measured by ultrasound in this group of volunteers. Furthermore, assesment of the reliability of measurements performed by practitioners with varying levels of ultrasound experience.

Conditions

Spinal Column; Lumbar Puncture; Position; Ultrasonography

Outcome Measures

Primary Outcomes (1)

• Comparison of Lateral Decubitus and Upright Sitting Positions in Ultrasound Measurement of Intervertebral Space in Adults with a BMI Over 30

  The primary outcome of the study is to compare the lateral decubitus and upright sitting positions in determining the intervertebral space measured by ultrasound in participants whose body mass index was greater than 30

  Baseline

Secondary Outcomes (1)

• Comparison of Sagittal and Paramedian Oblique Planes for Ultrasound Measurement of Intervertebral Space

  Baseline

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Healthy volunteers who want to participate in the study will be included.

You may qualify if:

• participants whose body mass index was greater than 30
• participants older than eighteen years old.

You may not qualify if:

• participants who have a history of lumbar surgery
• participants who have an infection on the lombar region
• pregnant volunteers

Sponsors & Collaborators

• Kocaeli City Hospital: lead

Study Sites (1)

Kocaeli City Hospital

Kocaeli, Turkey (Türkiye)

Location

Related Publications (8)

• Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. Editors: Roberts, J. R., Custalow, C. B., & Thomsen, T. W. . Seventh edition. Philadelphia, PA: Elsevier

  BACKGROUND

• Nomura JT, Leech SJ, Shenbagamurthi S, Sierzenski PR, O'Connor RE, Bollinger M, Humphrey M, Gukhool JA. A randomized controlled trial of ultrasound-assisted lumbar puncture. J Ultrasound Med. 2007 Oct;26(10):1341-8. doi: 10.7863/jum.2007.26.10.1341.

  PMID: 17901137 BACKGROUND

• Ferre RM, Sweeney TW. Emergency physicians can easily obtain ultrasound images of anatomical landmarks relevant to lumbar puncture. Am J Emerg Med. 2007 Mar;25(3):291-6. doi: 10.1016/j.ajem.2006.08.013.

  PMID: 17349903 BACKGROUND

• Stiffler KA, Jwayyed S, Wilber ST, Robinson A. The use of ultrasound to identify pertinent landmarks for lumbar puncture. Am J Emerg Med. 2007 Mar;25(3):331-4. doi: 10.1016/j.ajem.2006.07.010.

  PMID: 17349909 BACKGROUND

• Huang MY, Lin AP, Chang WH. Ultrasound-assisted localization for lumbar puncture in the ED. Am J Emerg Med. 2008 Oct;26(8):955-7. doi: 10.1016/j.ajem.2008.03.007. No abstract available.

  PMID: 18926360 BACKGROUND

• Furness G, Reilly MP, Kuchi S. An evaluation of ultrasound imaging for identification of lumbar intervertebral level. Anaesthesia. 2002 Mar;57(3):277-80. doi: 10.1046/j.1365-2044.2002.2403_4.x.

  PMID: 11892638 BACKGROUND

• Shi D, Perice L, Grimaldi C, Perera T, Nelson M. Ultrasound Measurement of the Intervertebral Space in the Lateral Recumbent Versus Sitting Positions. J Emerg Med. 2021 Dec;61(6):705-710. doi: 10.1016/j.jemermed.2021.07.015. Epub 2021 Aug 29.

  PMID: 34465511 BACKGROUND

• Andreas Dewitz, Robert A. Jones, Jessica G. Resnick, and Michael B. Stone. Additional Ultrasound-Guided Procedures. Ma and Mateer's Emergency Ultrasound. Editors: O John Ma; James R Mateer; Robert F Reardon; Scott Joing. Third Edition. New York : McGraw-Hill Education. 2014.

  BACKGROUND

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: M.D., Asst. Prof.

Study Record Dates

• First Submitted: March 2, 2025
• First Posted: January 2, 2026
• Study Start: April 1, 2025
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: January 2, 2026

Record last verified: 2025-12

Locations

TU (1)