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NCT Number: NCT07047469

Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery

This study aims to compare between the two methods (midline and paramedian approach of spinal anesthesia guided by ultrasound) by the number of needle passes required to successful dural puncture.

Recruiting

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Key information

Conditions

Anesthesia; Functional

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sohag University Hospital

Sohag, Egypt

Location status: Recruiting

Location contact

Magdy M Amin, Professor

CONTACT

01090801900

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients will perform orthopedic surgery
  • Physical state I or II according to ASA classification
  • Age between (18 - 50 )
  • Body mass index less than 30

Exclusion criteria

  • Patient refusal .
  • Local infection at the puncture site .
  • Allergy to any of the drugs to be administrated .
  • Old age patients
  • Obese patients
  • Previous spinal surgery .
  • Spinal stenosis .
  • Multiple sclerosis .
  • Coagulopathy.
  • Hypovolemia .
  • Systemic infection .
  • Aortic stenosis .
  • Spina bifida and back deformity .

Treatment and study plan

Group (1): spinal anesthesia with median approach

Procedure

patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques

Group (2): spinal anesthesia with paramedian approach

Procedure

patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques

Primary outcomes

  1. The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach

    Time frame: 24 hours, 72 hours, and 1 week after spinal anesthesia.

    pain measurement by numerical rating scale (NRS)

Study contacts

Contact information is provided by the study sponsor or research team.

Ahmed E Abd Elrahman, Professor

CONTACT

01118011611

Areej M Abd Elkader, Resident

CONTACT

[email protected]

01288811379

Sponsors and collaborators

Lead sponsor

Sohag University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jul 2, 2025
Registry last updated
Jul 2, 2025

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.

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