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Caudal Epidural With or Without Lumbar Sympathetic Block for Redo Lumbar Surgery
Sponsor: Hebatullah Mohammed Abdelmageed
Summary
Comparing the analgesic effect of caudal epidural versus combined lumbar sympathetic block with caudal epidural in patients undergoing redo spinal surgery.
Official title: The Analgesic Effect of Caudal Epidural Versus Combined Lumbar Sympathetic Block With Caudal Epidural in Patients Undergoing Redo Lumbar Surgery: A Randomized Double Blinded Controlled Trial.
Key Details
Gender
All
Age Range
40 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
64
Start Date
2024-03-01
Completion Date
2026-02-01
Last Updated
2026-07-14
Healthy Volunteers
No
Conditions
Interventions
Fluoroscopy-Guided Caudal Epidural Block
Under fluoroscopic guidance, the patient in the prone position will receive a caudal epidural injection through the sacral hiatus. A 22-gauge, 3.5-inch spinal needle (Spinocan®, BRAUN) is used to inject 1 mL of contrast media (Omnipaque 300) to confirm correct needle placement. Then, 10 mL of treatment solution (8 mL of 0.5% lidocaine and 2 mL of 8 mg dexamethasone) is administered.
Combined Lumbar Sympathetic Ganglion Block and Caudal Epidural Block
Patients will receive both a caudal epidural block and a lumbar sympathetic ganglion block (LSGB) under fluoroscopic guidance. The LSGB is performed at the L2 or L3 vertebral body on the affected side using a 21-gauge Chiba needle. After confirming needle position with contrast imaging, 10 mL of solution (2 mL of 8 mg dexamethasone + 8 mL of 1% lidocaine) is injected. A caudal block is then performed as described above.
Locations (1)
Kasr Al-Ainy Medical School, Cairo University
Cairo, Egypt