Less invasive back surgery may offer faster relief for spinal stenosis patients
NCT ID NCT04594980
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compared two surgical approaches for people with a single level of lumbar spinal stenosis (a narrowed spine canal causing leg pain and trouble walking). 96 adults aged 40-75 were randomly assigned to receive either minimally invasive decompression and fusion or traditional open surgery. The goal was to see which method better improves disability and pain over 12 months after surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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96 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Mar 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 40-75 years; 2. Neurogenic claudication or bilateral radiculopathy caused by single level combination of degenerative stenosis and spondylolisthesis confirmed by MRI at one level L3-L4 or L4-L5 or L5-S1; 3. Symptoms persisting for at least three months prior to surgery; 4. Given written Informed Consent Form; 5. Able and agree to fully comply with the clinical protocol and willing to adhere to follow-up schedule and requirements; 6. Oswestry Disability Index score of at least 40/100 at baseline; Exclusion Criteria: 1. Bilateral foraminal stenosis requiring surgical decompression on both sides; 2. Degenerative spondylolisthesis Type 2B, 3 subtypes by Gille; 3. More than one symptomatic level requiring multi-level surgical decompression and/or fusion; 4. Any condition that cannot be treated with mini-invasive unilateral decompression and fusion; 5. Any contraindication or inability to undergo baseline and/or follow up MRI or X-ray as required per protocol; 6. Spondylolisthesis grade II or higher of any etiology; 7. Prior lumbar spinal fusion at any level; 8. Other non-degenerative spinal conditions that may have an impact on subject safety, wellbeing or the intent and conduct of the study; 9. History or presence of any other major neurological disease or condition that may interfere with the study assessments; 10. Severe arterial insufficiency of the legs or other peripheral vascular disease; 11. Previous enrollment in this study, current enrollment or plans to be enrolled in another study (in parallel to this study).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Priorov National Medical Research Center of Traumatology and Orthopedics
Moscow, 127299, Russia
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Other studies related to the condition(s) this trial covers.
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