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An open-label randomized trial to compare the efficacy of ultrasound-guided caudal and interlaminar corticosteroid injections for the treatment of lumbar disk herniation-related sciatica.
An open-label randomized trial conducted in one centre to compare the efficacy of ultrasound-guided caudal and interlaminar corticosteroid injections for the treatment of lumbar disk herniation-related sciatica. 30 male and female patients will be included in each group. The primary outcome measure will be a 30% decrease in lower limbs pain as assessed by a visual analog scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ultrasound-guided | Experimental | ultrasound-guided caudal epidural corticosteroid injection |
|
| interlaminar | Active Comparator | interlaminar epidural corticosteroid injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound-guided | Procedure | ultrasound-guided caudal epidural corticosteroid injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| lower limbs pain | a 30% decrease in lower limbs pain using a visual analog scale | day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry questionnaire | low back pain disability assessment using Oswestry questionnaire | day 15 - month 1 - month 3 - month 6 |
| A decrease of radicular pain with a pain numerical scale lower or equal to 3/10 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital | Caen | 14000 | France |
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| ID | Term |
|---|---|
| D012585 | Sciatica |
| ID | Term |
|---|---|
| D020426 | Sciatic Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| interlaminar | Procedure | interlaminar epidural corticosteroid injection |
|
pain numerical scale lower or equal to 3/10
| day 15 - month 1 - month 3 - month 6 |
| neurological deficiency assessed by neurological examination | motor weakness or sensitive deficiency in lower limbs | day 15 - month 1 - month 3 - month 6 |
| drugs | decrease in analgesic treatment | day 15 - month 1 - month 3 - month 6 |
| medical outcome | Medical Outcome study Short Form (SF-36) | day 15 - month 1 - month 3 - month 6 |
| resumption of work | deadline of resumption of work | day 15 - month 1 - month 3 - month 6 |
| number of patients with treatment-related adverse events as assessed by CTCAE v4.0 | adverse events assessed by CTCAE v4.0 | day 15 - month 1 - month 3 - month 6 |
| D009422 | Nervous System Diseases |
| D009437 | Neuralgia |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |