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Trial registered on ANZCTR
Registration number
ACTRN12618000552280
Ethics application status
Approved
Date submitted
18/02/2018
Date registered
13/04/2018
Date last updated
2/10/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
How deep is epidural space? Correlation between MRI, USG and Actual Depth: A Prospective Observational Study
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Scientific title
How deep is epidural space? Correlation between MRI, USG and Actual Depth: A Prospective Observational Study of patients undergoing lumbar spine surgery
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Secondary ID [1]
294030
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none
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Universal Trial Number (UTN)
U1111-1209-2776
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
ultrasonographic imaging
306565
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lumbal herniated nucleus pulposus surgery
306657
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magnetic resonance imaging
306658
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Condition category
Condition code
Musculoskeletal
305658
305658
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The depth of the epidural space will be measured using ultrasound with a convex ultrasound probe from skin to ligamentum flavum and dura and also the depth of epidural space will be measured from the magnetic resonance imaging of the patient that was obtained before the operation which is a regular process in our institution. The actual depth of epidural space will be measured with a sterile disposable tape measure by the surgeon operating the patient for lumbal herniated nucleus pulposus when he/she reaches the level of dura during surgical exploration which lasts for 2 hours .
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Intervention code [1]
300301
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
304766
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measurement of epidural depth will be assessed with ultrasound using the 2-5 Mhz curved array probe in transverse plane ( transverse plane is the horizontal plane of the body where ultrasound beams see the antero-posterior structures in horizontal section of the body,) in patients undergoing lumbar herniated nucleus pulposus surgery.
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Assessment method [1]
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Timepoint [1]
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lumbar epidural space depth will be measured by ultrasound before the operation afterwhen the patient is in the operation room and monitorized.
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Primary outcome [2]
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measurement of epidural depth will be assessed with ultrasound using the 2-5 Mhz curved array probe in saggital paramedian oblique plane ( saggital paramedian oblique plane is the plane perpendicular to transverse plane and it is another ultrasonic examination technique to visualize the body parts in a different view than transverse plane) in patients undergoing lumbar herniated nucleus pulposus surgery.
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Assessment method [2]
305369
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Timepoint [2]
305369
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lumbar epidural space depth will be measured by ultrasound before the operation afterwhen the patient is in the operation room and monitorized.
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Secondary outcome [1]
343090
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measurement of epidural depth from the magnetic resonance imaging of the patients scheduled for lumbar herniated nucleus pulposus surgery. this measurement will be assessed by MRI whereas primary outcomes will be assessed by Ultrasound.
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Assessment method [1]
343090
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Timepoint [1]
343090
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magnetic resonance imaging of all patients will be present before the operation in patient database and the measurements will be obtained from the images.
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Secondary outcome [2]
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measurement of actual epidural depth of patients undergoing lumbar herniated nucleus pulposus surgery. The true anatomical epidural depth (actual epidural depth) will be measured with a sterile tape measure from the surgical wound by the surgeon during the surgical exploration and this is the actual epidural depth and no imaging techniques will be used in this measurement.
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Assessment method [2]
343537
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Timepoint [2]
343537
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actual epidural depth will be measured by the surgeon with a disposable sterile tape measure upon reaching the dura during surgical exploration.
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Eligibility
Key inclusion criteria
patients undergoing elective lumbar herniated nucleus pulposus surgery.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
more than one segment surgery for lumbar herniated nucleus pulposus
emergency cases
patients' refusal to participate in to the study
age <18 years or age> 80 years
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
IBM SPSS ver 21.0 will be used to analyze the data collected. mean, standard deviation, frequencies, median will be used for the analysis of quantitative data. normal distribution of data will be analyzed by Kolmogorov- Smirnow and Shapiro Wilk tests. Spearman's rho correlation and Pearson correlation tests will be used to analyze the correlation between the mesaurements of epidural depth bu ultrasound, magnetic resonance imaging and actual depth
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/05/2018
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Actual
31/05/2018
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Date of last participant enrolment
Anticipated
31/08/2018
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Actual
17/07/2018
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Date of last data collection
Anticipated
31/08/2018
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Actual
17/07/2018
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment outside Australia
Country [1]
9603
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Turkey
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State/province [1]
9603
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kirsehir
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Funding & Sponsors
Funding source category [1]
298656
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Self funded/Unfunded
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Name [1]
298656
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mehmet cantürk
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Address [1]
298656
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medical doctor at ahi evran university training and research hospital
address: kervansaray mahallesi 2019. sokak no:1
merkez/kirsehir/turkey
p.k. 40100
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Country [1]
298656
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Turkey
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Primary sponsor type
Individual
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Name
mehmet cantürk
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Address
medical doctor at ahi evran university training and research hospital
address: kervansaray mahallesi 2019. sokak no:1
merkez/kirsehir/turkey
p.k. 40100
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Country
Turkey
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Secondary sponsor category [1]
297825
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None
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Name [1]
297825
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none
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Address [1]
297825
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none
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Country [1]
297825
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299611
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ahi evran üniversitesi tip fakültesi klinik arastirmalar etik kurulu
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Ethics committee address [1]
299611
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ahi evran üniversitesi tip fakültesi bagbasi yerleskesi merkez/kirsehir/turkey
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Ethics committee country [1]
299611
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Turkey
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Date submitted for ethics approval [1]
299611
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15/12/2017
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Approval date [1]
299611
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26/12/2017
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Ethics approval number [1]
299611
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2017-20/244
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Summary
Brief summary
knowing the depth of epidural space is of great importance . if we know the actual depth or if we can predict the depth of epidural space before any kind of epidural procedures, i.e. epidural anesthesia, spinal anesthesia, combined spinal epidural anesthesia, facet joint injection, and surgeries related to epidural space, this knowledge guides us how deep we can introduce the needle safely. several radiologic techniques as computed tomography, magnetic resonance imaging and ultrasonography can be used to measure the depth of epidural space. in this prospective observational study we aimed to investigate the correlation of actual epidural depth with the measurements obtained with magnetic resonance imaging and ultrasonography.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr mehmet cantürk
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Address
81022
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ahi evran university training and research hospital
address: kervansaray mahallesi 2019. sokak no:1
merkez/kirsehir/turkey
p.k. 40100
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Country
81022
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Turkey
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Phone
81022
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+905053574372
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Fax
81022
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Email
81022
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[email protected]
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Contact person for public queries
Name
81023
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mehmet cantürk
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Address
81023
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ahi evran university training and research hospital
address: kervansaray mahallesi 2019. sokak no:1
merkez/kirsehir/turkey
p.k. 40100
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Country
81023
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Turkey
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Phone
81023
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+905053574372
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Fax
81023
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Email
81023
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[email protected]
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Contact person for scientific queries
Name
81024
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mehmet cantürk
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Address
81024
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ahi evran university training and research hospital
address: kervansaray mahallesi 2019. sokak no:1
merkez/kirsehir/turkey
p.k. 40100
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Country
81024
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Turkey
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Phone
81024
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+905053574372
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Fax
81024
0
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Email
81024
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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