Comparison study of surgical methods of laminectomy with and without unilateral and bilateral lumbar pedicle screw fixation in young patients with spinal canal stenosis: a randomized clinical trial.

Comparison of laminectomy surgical methods with and without unilateral and bilateral lumbar pedicle screw fixation in young patients with spinal canal stenosis: a randomized clinical trial

The clinical trial has 3 intervention groups. 81 patients are included in the study in parallel and without blinding. Random allocation is done based on permutation block design with 6 rows.

The surgery is performed by a surgeon at Valiasr Hospital in Qom province.

Patients with lumbar spine degeneration-Age range less than 40 years, observation of lumbar spinal stenosis in the L3-L5 range in magnetic imaging (a discopathy level at the level of L3-L4 or L4-L5 vertebrae), use of conservative treatments for at least 6 weeks, BMI between 20 30, visual analog scale above 7 before surgery, as well as the presence of any previous surgery in the lumbar region, anemia, rheumatoid arthritis, osteoporosis, hypertension and uncontrolled diabetes, or the presence of any active infection in the body, consumption Anticoagulant drugs or any type of drug effective on wound healing, long-term use of opioids, smoking and other narcotic drugs before surgery to reduce pain, the presence of any pathological or discopathy in other vertebrae, the presence of spondylolisthesis of any degree. In the beads, it is considered as the criteria of not entering the study.

A: Laminectomy group without fixation B: Laminectomy group with unilateral fixation C: Laminectomy group with bilateral fixation

The variables investigated in this study include the clinical results (pain, quality of life, rehabilitation rate) of the patients, which are evaluated in the form of repeated measurements. Radiological results (fusion, disc recurrence, screw loosening) will also be evaluated 6 months after surgery.

Patients will be included in the study as available sampling and will be randomly divided into three groups A, B, C based on permutation block design (rows of 6). Allocation concealment is done using a sealed envelope (the envelope contains letters) which will be opened in the operating room after the induction of the patient. The amount of electrocautery current voltage will be set the same in all patients.

The information of all participants without individual information will be published in the majority of tables as a general conclusion.

After the end of the patient admission and the final analysis of the data

The general public

In order to increase people's awareness in the field of laminar ectone surgery with and without prosthesis, to improve the clinical skills of patients in the field of choosing a more effective surgical method according to the lifestyle and clinical condition of patients.

Valid databases for publishing articles

Refer to the desired database and use keywords to access the article