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CTRI Number  CTRI/2024/05/066682 [Registered on: 02/05/2024] Trial Registered Prospectively
Last Modified On: 22/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   MRI findings in patients with low back pain. 
Scientific Title of Study   To assess the reliability and clinical significance of nerve root sedimentation sign and its correlation with dural sac cross-section area as related to lumbar canal stenosis  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vipul Agarwal 
Designation  Fellow in Spine Surgery 
Affiliation  Datta Meghe Institute Of Higher Education And Research  
Address  Department of Orthopaedics DMIHER,Sawangi(Meghe), Wardha

Wardha
MAHARASHTRA
442107
India 
Phone  9616339510  
Fax    
Email  drvipulmarkasiya@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ratnakar Ambade 
Designation  Professor and Head of Department 
Affiliation  Datta Meghe Institute Of Higher Education and Research 
Address  Department of Orthopaedics DMIHER,Sawangi(Meghe), Wardha

Wardha
MAHARASHTRA
442107
India 
Phone  9823033511  
Fax    
Email  drambade@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ratnakar Ambade 
Designation  Professor and Head of Department 
Affiliation  Datta Meghe Institute Of Higher Education and Research 
Address  Department of Orthopaedics DMIHER,Sawangi(Meghe), Wardha

Wardha
MAHARASHTRA
442107
India 
Phone  9823033511  
Fax    
Email  drambade@hotmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute Of Higher Education and Research ,Sawangi,Meghe, Wardha, Maharashtra,442001, India 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research 
Address  Sawangi,Meghe, Wardha,Maharashtra,442001,India 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Vipul Agarwal  Jawahar Lal Nehru MedicalColege  Department Of Orthopaedics Shalinitai Meghe Superspeciality Building, Sawangi
Wardha
MAHARASHTRA 
9616339510

drvipulmarkasiya@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Datta Meghe Institute of Higher Education and Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M498||Spondylopathy in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NA 
Comparator Agent  NIL  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  -All the patients with low back pain and/or leg pain (duration more than 12 weeks)
-Age above 18 years.
-Patients willing to give written informed consent.
 
 
ExclusionCriteria 
Details  -Congenital spinal anomalies, Osteomyelitis, Spinal trauma, Compression fracture, evidence of lumbar or sacral tumours, diffuse bone metastasis or any previous lumbar spine surgery, prior spinal intervention will be excluded from the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
All those patients with severe low back pain with radiculopathy and claudication will show positive nerve root sedimentation sign on axial sections of T2W MRI of lumbar spine in correlation with decreased dural sac cross section area.  A patients are assessed in single time 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation between nerve root sedimentation sign and other clinical measures like- visual analogue scaling (VAS)score and Oswestry Disabilty Index (ODI)  Patients are assesessed in single time point after enrolling in the study. 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   07/07/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study is done to validate the positive correlation between nerve root sedimentation sign and dural sac cross section area on MRI of lumbar spine in all those patients of more than 18 years of age with low back pain and radiculopathy and claudication. This study is done to rectify the knowledge gap by analysing the gray area bwtween positive sediment sign in patients of severe lumbar canal stenosis and negative sediment sign in those patients having the symptoms. 
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