Predictors of Decompressive Laminectomy Outcomes
NCT02215551 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 239
Last updated 2023-01-12
Summary
Decompressive laminectomy (DL) is the most common type of back surgery performed in older adults; DL treats lumbar spinal stenosis (LSS), a degenerative narrowing of the spinal canal causes pain and trouble walking. An estimated one in three people who undergo DL do not get well and often undergo repeated surgery.1,3-6 Some studies indicate that conditions outside of the spine (e.g., depression, hip arthritis) cause people who undergo DL to do poorly,27,30-36 but no one has comprehensively examined these conditions or the impact of treating them on DL outcomes. Thus LSS treatment continues to focus on the spine alone.61 The aim of this study is to identify conditions other than LSS that place Veterans at risk of poor DL outcomes so that future comparative effectiveness studies can be designed that examine the impact of a more comprehensive approach to treatment. Investigators believe that a patient-centered rather than a disease-centered approach will lead to superior outcomes, less suffering, and more appropriate use of health care resources.
Conditions
- Lumbar Spinal Stenosis
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Debra K. Weiner, MD · VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA
Eligibility
- Min Age
- 50 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2014-10-01
- Primary Completion
- 2022-07-01
- Completion
- 2023-01-10
Countries
- United States
Study Locations
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