Lumbar Steroid Use in Patients Undergoing Posterior Lumbar Decompression
Topical Epidural Steroid Usage in Patients Undergoing Posterior Lumbar Decompression: A Randomized Control Trial
Hospital for Special Surgery, New York
150 participants
Nov 5, 2021
INTERVENTIONAL
Conditions
Summary
This study seeks to evaluate the impact of intra-operative topical epidural steroid usage in patients undergoing 1-2 level lumbar laminectomy. The study will examine post-operative opioid usage, length of stay, return to work, and patient reported outcomes following these procedures.
Eligibility
Inclusion Criteria2
- Patients scheduled to undergo 1 to 2 level laminectomy
- Between the ages of 18-85
Exclusion Criteria6
- Minimally invasive surgery
- Prior daily opioid usage within 6 months.
- Use of concomitant procedures such as spinal fusion, revision procedure at the same level.
- History of a chronic pain syndrome, uncontrolled diabetes defined as A1C \> 6.5, immunocompromised condition such as active cancer treatment, history of transplant, benign prostatic hyperplasia or history of urinary retention, and other conditions which require chronic steroid therapy or immunosuppressants.
- Non-English speakers
- Patients allergic to Depo-Medrol and/or glucocorticoids, or other steroids
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Interventions
40mg Depo-Medrol mixed with hemostatic matrix
1 mL of sterile normal saline mixed with hemostatic matrix
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05058287