Is fusion necessary? new trial tests if simpler back surgery works just as well

NCT ID NCT05273879

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study compares two surgical approaches for single-level lumbar spinal stenosis: decompression alone versus decompression with spinal fusion. Researchers will track 86 patients aged 45-75 over two years to see if the simpler procedure works just as well. The goal is to determine whether fusion is truly needed, which could reduce surgical risks and costs.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to

If successful, this study could show that decompression alone is just as effective as decompression plus fusion, potentially sparing patients from unnecessary surgery.

What could go wrong

This is a relatively small trial (86 participants) and results may not apply to all patients. The non-inferiority design means it can only show that one approach is not worse than the other, not that it is better.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Constriction, Pathologic lumbar spinal stenosis spinal stenosis

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Pirogov National Medical and Surgical Center

    RECRUITING

    Moscow, Moscow, 105203, Russia

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Sklifosovsky Research Institute for Emergency Medicine

    RECRUITING

    Moscow, Moscow, 107045, Russia

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact