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Impact of Muscle Degeneration in Chronic Low Back Pain
Sponsor: Hospital Israelita Albert Einstein
Summary
Surgical interventions for the removal of intervertebral disc fragments or to enlarge a narrow spine canal are commonly performed worldwide and are considered efficient. Concomitant low back pain is not uncommon among patients with lumbar nerve compression and neurological symptoms. When present, controversy persists in the literature regarding its ideal management. Although neurological symptoms improve after decompressive surgery, the presence of residual chronic low back pain may worsen satisfaction scores and cause functional disability. The hypothesis of the present study is that the presence of atrophy of the paraspinal and trunk muscles predicts chronic low back pain after lumbar neural decompression. If confirmed, this finding will aid in better planning of physical rehabilitation strategies for this group of patients, as well as a clearer prediction regarding surgical treatment outcomes for patients and health professionals.
Official title: Impact of Muscle Degeneration in Chronic Ow Back Pain in Patients Undergoing Neural Decompression
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
168
Start Date
2020-04-06
Completion Date
2025-06-27
Last Updated
2025-03-13
Healthy Volunteers
No
Interventions
Lumbar decompressive surgery
Patients with lumbar degenerative diseases and symptoms of nerve compression (radiculopathy or neurogenic claudication) who will undergo surgical treatment for neural decompression (discectomy, foraminotomy or laminectomy).
Locations (1)
Hospital Israelita Albert Einstein
São Paulo, São Paulo, Brazil