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The purpose of the study is to understand the composition of the nerves supplying the facet joints in low back.
After written informed consent, the nerves supplying the facet joints - lumbar dorsal rami and its medial branches, will be harvested when they are exposed during spinal surgery. These nerves will be fixed, washed and further dissected to enable smaller sections. The cut section will be stained and subjected to analysis of overall cross-sectional area and presence of connective tissue sheaths under light microscope.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active group | Patients who are scheduled to undergo lumbar spinal surgery and fulfill the inclusion and exclusion criteria |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spinal surgery | Procedure | In participants who undergo elective lumbar spinal surgery and consented for research, the medial branch and dorsal rami will be harvested for histological analysis. |
| Measure | Description | Time Frame |
|---|---|---|
| Nerve Histology | Percentage of nerves containing more than 50% sensory fibres in lumbar dorsal rami/medial branches to assess whether they are sensory or motor nerves | one year |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will be the cohort of patients who are scheduled to undergo lumbar spinal surgery. The potential population will be identified from the patients who are being invited for the surgery. All prospective participants will be sent an invitation letter and Participant Information Sheet along with their the clinical appointment letters.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Saravanakumar Kanakarajan, MD FRCA | Contact | 00 44 1224 553237 | saravanakumark@abdn.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Saravanakumar Kanakarajan, MD FRCA | NHS Grampian | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Woodend Hospital | Recruiting | Aberdeen | Scotland | AB15 6XS | United Kingdom |
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| ID | Term |
|---|---|
| D009410 | Nerve Degeneration |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D016626 | Shadowing Technique, Histology |
| ID | Term |
|---|---|
| D013194 | Staining and Labeling |
| D016591 | Histocytological Preparation Techniques |
| D003584 | Cytological Techniques |
| D019411 | Clinical Laboratory Techniques |
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The excess tissue harvested from the participants will be stored in the biorepository
| Histology | Other | The harvested nerves will be fixed, cut into smaller sections. Analysis of macroscopic and light microscopic sections will be carried out |
|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006652 | Histological Techniques |
| D008919 | Investigative Techniques |