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

NCT ID NCT05273879

Recruiting now Knowledge-focused Sponsor: Sklifosovsky Institute of Emergency Care Source: ClinicalTrials.gov ↗

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.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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.

LUMBAR SPINAL STENOSIS SPINAL FUSION SPINAL STENOSIS

Contacts and locations

Locations

Pirogov National Medical and Surgical Center
RECRUITING

Moscow, Moscow, 105203, Russia
Sklifosovsky Research Institute for Emergency Medicine
RECRUITING

Moscow, Moscow, 107045, Russia

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