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Completed

NCT Number: NCT05145530

Selective Nerve Root Block With Ultrasound Guidance Improves Surgical Outcome of Selective Discectomy in Patients With Multilevel Cervical Disc Disease

Disc degeneration is a natural part of growing older. Up to 60% of asymptomatic people have MRI findings that are positive. As a result, MRI only provides morphological information and may not be able to determine the clinical significance of the findings.

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Key information

Conditions

Selective Nerve Root Block Selective Discectomy

Age range

30 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Assiut governorate

Asyut, 715715, Egypt

About this study

Many authors believe that patients who suffer from cervical radiculopathy as a result of degenerative disease and have multilevel pathology on imaging studies still have moderate surgical outcomes. This occurs due to a misdiagnosis or the need to perform surgery on multiple levels despite a single painful lesion.

Although the complication rate for 1- and 2-level ACDF is so low that it is considered one of the safest procedures in spine surgery. There is concern that increasing levels of fusion will lead to more complications, such as a higher incidence of persistent axial neck pain, dysphagia, and vertebral artery injury, as well as more postoperative pain and higher narcotic dosages.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • all patients presented with unilateral brachialgia due to multilevel cervical disc disease

Exclusion criteria

  • multilevel cervical disc disease who had bilateral brachialgia,
  • myelopathy, double crush syndrome,
  • ossified posterior longitudinal ligament (OPLL),
  • combined anterior and posterior pathology requiring posterior decompression

Treatment and study plan

selective anterior cervical discectomy and fusion (ACDF)

Procedure

selective anterior cervical discectomy and fusion (ACDF)

SNRB+ selective anterior cervical discectomy and fusion (ACDF)

Procedure

US-guided selective nerve root block (SNRB) + selective anterior cervical discectomy and fusion (ACDF)

Primary outcomes

  1. pain intensity

    Time frame: 24 hours postoperative

    Visual analogue score (VAS): 0= no pain, 10= worst pain

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Selective Nerve Root Block With Ultrasound Guidance Improves Surgical Outcome of Selective Discectomy in Patients With Multilevel Cervical Disc Disease: a Randomized Controlled Trial

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Dec 6, 2021
Registry last updated
Jan 4, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.