NCT07199816

Pain Control With Caudal Epidural vs. Combined Caudal Epidural and Lumbar Sympathetic Block .

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.

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 64 (estimated)
• Sponsor: Hebatullah Mohammed Abdelmageed · Academic / Other
• Sex: All
• Age: 40 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

Comparing the analgesic effect of caudal epidural versus combined lumbar sympathetic block with caudal epidural in patients undergoing redo spinal surgery.

Detailed description

To evaluate the improvement in pain score using numerical rate scale (NRS) over 4 months and compare this between the two groups. * To assess and compare the improvement of motor activity and early ambulation using EuroQo lmeasure (EQ-5D) between the two groups. * To evaluate and compare the overall patient satisfaction between the two groups.

Conditions

• Pain Management After Surgery

Interventions

Type	Name	Description
PROCEDURE	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.
PROCEDURE	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.

Timeline

• Start date: 2025-06-01
• Primary completion: 2026-06-20
• Completion: 2026-08-01
• First posted: 2025-09-30
• Last updated: 2025-09-30

Locations

1 site across 1 country: Egypt