Determining the treatment strategy for patients with degenerative diseases of the spine is extremely difficult, without an accurate understanding of the nature of stress distribution in the vertebral-motor segments of the spine, as well as biomechanical changes that are associated with degenerative diseases of the spine. In this clinical study, we want to compare the use of unilateral and bilateral transpedicular fixation for treating the patients with degenerative diseases of the lumbar spine.
It is planned to use posterior stabilization without interbody fusion. In the postoperative period, all the patients receive antibacterial and analgesic therapy. The early postoperative period is spent in a hospital. Repeated appearances for control examinations (3, 6, 12 months) are provided for physical examination (EQ-5D, Oswestry Disability Index) and performing radiographs or computed tomography (CT) of the spine. All patients undergo a standard rehabilitation course.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Pedicle screws are installed unilaterally on the one side of the vertebrae and fixed with rod
Pedicle screws are installed bilaterally on the both sides of the vertebrae and fixed with rods
Sechenov University
Moscow, Russia
RECRUITINGfusion rate of the operated spine segment
Control CT/Radiography examination
Time frame: in 3 months after surgery
fusion rate of the operated spine segment
Control CT/Radiography examination
Time frame: in 6 months after surgery
fusion rate of the operated spine segment
Control CT/Radiography examination
Time frame: in 12 months after surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.