Low Back Pain Clinical Trial
Official title:
Evaluation of the Role of Steroids and 10% Hypertonic Sodium Chloride in Adhesiolysis in Post Lumbar Surgery Syndrome Patients: A Prospective, Randomized, Double-Blind, Equivalence, Controlled Trial of Percutaneous Lumbar Adhesiolysis
To evaluate the effectiveness of steroids and/or 10% hypertonic sodium chloride in
percutaneous adhesiolysis in managing chronic low back and/or lower extremity pain in
patients with post lumbar surgery syndrome.
To evaluate and compare the adverse event profile in all groups.
Recruitment is indicated in patients with chronic low back pain and lower extremity pain
secondary to post lumbar laminectomy syndrome, non-responsive to conservative therapy with
physical therapy, chiropractic, medical therapy, and fluoroscopically directed epidural
injections.
This is a single-center, prospective, randomized, double-blind, equivalence, controlled
trial performed in an interventional pain management referral center in the United States.
The study involves 240 patients studied in 4 groups with 60 patients in each group.
Randomization includes sequence generation, allocation concealment, implementation, and
blinding.
Data management analysis includes sample size justification of 40 patients in each group
with a power of 80% and a 0.05% 2-sided significance level. Statistical methodology includes
chi-squared statistics, Fisher's exact test, t-test, and paired t-test with significance
evaluated at P value < 0.05.
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