Precision Treatment of Lumbar Spine Surgery Through Advanced Nerve Root Blockade

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Aarhus

About this trial

The overall purpose of the study is to investigate whether selective spinal nerve root blocks can improve diagnostics of radiculopathy due to lumbar disc herniation (LDH), foraminal stenosis (FS), and recess stenosis (RS), and hence identify the patients that will benefit from surgical intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age >18 years old

Suspected lumbar radiculopathy persistent ≥ 8 weeks

Radiological evidence of lumbar nerve root compression (herniated disc, recess stenosis, foraminal stenosis)

Disqualifiers

Prior lumbar spine surgery

Mental illness

Language barrier in Danish

Severe physical co-morbidity

Trial design

Design model

Parallel

Treatments tested in this trial

  • Selective nerve root block (SNRB)

    Diagnostic test

    CT/Fluoroscopy guided nerve root block

Treatment groups

180 Participants
are divided into 2 treatment groups
Group A: BlockActive comparator 1 intervention
Group B: No-blockNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Minimum clinically important difference (MCID)

Difference in mean change on numerical rating scale for leg pain (NRS-LP) 3 months after surgery. The margin of non-inferiority will be set to = 1.6 points. Comparison will be made between patients in the SNRB group and patients in the control group surgery.

Time frame
3 months after surgery/decision not to operate

Secondary outcomes

1

Leg pain

Difference in proportions reaching 1.6 points on NRS-LP 3 months after surgery/decision to not to operate. Comparison will be made between the SNRB group and the standard of care group.

Time frame
3 months after surgery/decision not to operate
2

Back pain

Mean change in numerical rating scale for back pain (NRS-BP) 3 months after surgery/decision to not to operate. Comparison will be made between the SNRB group and the standard of care group.

Time frame
3 months after surgery/decision not to operate
3

SF-36 (Short form 36)

SF-36 3 months after surgery/decision to not to operate. Comparison will be made between the SNRB group and the standard of care group.

Time frame
3 months after surgery/decision not to operate
4

EQ5D (EuroQol 5D)

EQ5D 3 months after surgery/decision to not to operate. Comparison will be made between the SNRB group and the standard of care group.

Time frame
3 months after surgery/decision not to operate

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Aarhus

Lead sponsor

Private Hospital Moelholm

Collaborator