Preoperative Corticosteroid Epidural Injection and Lumbar Decompression Surgery Outcomes
Withdrawn before enrolling · Not applicable
Conditions studied: Lumbar Radiculopathy
In brief
This randomized control trial will compare opioid use, pain, and functional outcomes following decompression surgery for single-level lumbar radiculopathy in patients who undergo placement of corticosteroid epidural injection within 2 weeks prior to surgery compared to those who do not. The hypothesis of this study is that patients who receive the preoperative corticosteroid injection will have less reduced postoperative opioid use, as well as earlier mobilization, reduced length of stay, and faster return to work compared to control patients who do not receive the injection.
Key facts
- Study ID
- NCT03543033
- Run by
- Lahey Clinic
- People needed
- 0
- Starts
- 2018-09-10
- Expected to finish
- 2020-05-01
- Last updated by the study team
- 2020-06-18
Who can join
Age: 30 and older, up to 75. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patients 30-75 years of age
- Patients diagnosed with diagnoses with single level unilateral lumbar radiculopathy
- Patients diagnosed with spinal stenosis or disc herniation
- Patients who have a history of > 6 weeks of at least 1 conservative treatment
- ASA < III
You may not qualify if…
- Patients who have undergone previous lumbar spinal surgery at index level
- Patients diagnosed with spondylolisthesis at index level
- Patients currently taking anti-coagulant therapy
- Active treatment of major psychiatric condition such as major depression and/or anxiety disorder.
- Patients currently seeking or receiving workers compensation
- Patients who have undergone previous corticosteroid injection at index level
- Morbid obesity defined as BMI > 40
- Patients with history of chronic opioid use
- Patients with a contrast dye allergy
- Extruded disc fragment
Where it is running
- Lahey Hospital & Medical Center — Burlington, Massachusetts, United States
Full record on ClinicalTrials.gov
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