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Home > "S" Clinical Trials Conditions > Surgical versus Nonsurgical Treatment for Spinal Stenosis  Surgical versus Nonsurgical Treatment for Spinal Stenosis
Surgical versus Nonsurgical Treatment for Spinal Stenosis
For Condition: Spinal Stenosis
Status: Recruiting
Sponsor(s): National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) ,
Synopsis: Lumbar spinal stenosis (a narrowing of spaces in the backbone that results in pressure on the spinal cord and/or nerve roots) is a condition that occurs frequently, particularly in the elderly. This condition can lead to significant pain and limit a person's ability to function. Moreover, doctors disagree about the best way to treat people with lumbar spinal stenosis. In this study we will compare surgical treatment of lumbar spinal stenosis with nonsurgical treatment using physical therapy. The results of this study should help clarify which treatment strategies are the most effective for patients with lumbar spinal stenosis.
Details: Lumbar spinal stenosis is a frequently encountered condition, particularly in the elderly, which can lead to significant pain and functional limitations. The prevalence of this condition is growing as the population continues to age. Substantial controversy exists regarding the management of lumbar spinal stenosis. Surgery has traditionally been the treatment of choice, although physicians typically recommend a trial of nonsurgical care prior to surgery. The most effective means of nonsurgical treatment has not been identified, although a "standard" regimen has been developed. There is presently no evidence in the literature regarding the relative effectiveness of surgical versus nonsurgical treatment of lumbar spinal stenosis, or the efficacy of the standard nonsurgical treatment approach. This randomized clinical trial will compare surgical decompression versus nonsurgical treatment (i.e., physical therapy) of lumbar spinal stenosis. The results of this study should help clarify which treatment strategies are the most effective for patients with lumbar spinal stenosis.
Eligibility:
Study Type: Interventional, Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 50 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Imaging evidence of stenosis - Unable to walk more than 1/4 of a mile - No prior surgery for stenosis - Consents to surgery - Speaks English Exclusion Criteria: - Presence of dementia or organic brain syndrome - Coronary artery disease, recent myocardial infarction, pulmonary or vascular disease - Spondylolisthesis (> 5 mm slippage) - Severe osteoporosis - Metastatic cancer
Total Enrollment: 158
Location and Contact Information:
Overall Study Official:
AnthonyDelitto, Principal Investigator, University of Pittsburgh
University of Pittsburgh *Recruiting*
Pittsburgh, Pennsylvania, 15261
United States
Recruiting Sara Piva 412-383-6712
Additional Information:
Study ID Numbers: NIAMS-052; R01 AR45633
Study Start Date: September 2000
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00022776
Other Spinal Stenosis Studies:
1. Surgical versus Nonsurgical Treatment for Spinal Stenosis
2. Spine Patient Outcomes Research Trial (SPORT): Degenerative Spondylolisthesis with Spinal Stenosis
3. Spine Patient Outcomes Research Trial (SPORT): Spinal Stenosis
Related Studies:
Other Spinal Stenosis Clinical Trials
Other Pennsylvania Clinical Trials
Other Pittsburgh Clinical Trials
Surgical versus Nonsurgical Treatment for Spinal Stenosis
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