Clinical trial Recruiting at 1 site Observational Ages 18 and up

Impact of muscle degeneration on chronic low back pain after surgery

Official title: Impact of Muscle Degeneration in Chronic Ow Back Pain in Patients Undergoing Neural Decompression

Run by Hospital Israelita Albert Einstein · NCT04273828 · Data updated 2026-11-12

This study looks at how muscle loss affects ongoing back pain in people who have surgery for spine problems, to help improve recovery and predict results.

More Back Pain trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment168 (estimated)
SponsorHospital Israelita Albert Einstein
Academic / other
Locations1 site (São Paulo, São Paulo)
StatusRecruiting
StartedApril 6, 2020
Main results expectedDecember 27, 2024
Study endsJune 27, 2025
Registry record updatedMarch 13, 2025
Trial IDNCT04273828 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with symptoms of lumbosacral neural compression who have not responded to conservative treatment for at least six weeks.

Probably not a fit

Patients requiring lumbar arthrodesis or those with active rheumatologic diseases may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study investigates the relationship between muscle atrophy and chronic low back pain in patients undergoing lumbar decompression surgery for conditions like lumbar spinal stenosis and disc herniation. It follows a cohort of patients preoperatively and at multiple postoperative intervals to assess outcomes and the role of muscle degeneration in pain persistence. The study aims to improve rehabilitation strategies and predict surgical outcomes based on muscle condition. Imaging tests will be conducted to evaluate muscle status before and after surgery.

Why it matters

Potential benefit: If successful, this study could lead to improved rehabilitation strategies and better surgical outcome predictions for patients with chronic low back pain.

How similar studies have gone: Other studies have explored similar relationships between muscle degeneration and pain outcomes, suggesting potential for meaningful insights, though this specific approach may be novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. adults 18 years of age and older;
2. with symptoms of lumbosacral neural compression (radiculopathy or neurogenic lameness);
3. failed conservative treatment for at least 6 weeks;
4. undergoing surgery for neural decompression (discectomy and / or foraminotomy and / or hemilaminectomy);
5. with complete pre and postoperative medical records in all evaluations.

Exclusion Criteria:

1. need for lumbar arthrodesis;
2. deep infection requiring surgical cleaning;
3. patients submitted to joint facet rhizotomy;
4. active rheumatologic disease, including seronegative arthropathies.

Where it's running

  • Hospital Israelita Albert Einstein
    São Paulo, São Paulo, Brazil
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.