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A randomized, double-blinded controlled trial enrolled 50 adults (Grade 1) and compared Racz-catheter neuroplasty with conventional lumbar steroid injections. Outcomes included visual analog pain scores and Oswestry disability, alongside safety and satisfaction measures, with statistical comparisons across multiple postoperative time 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[https://doi.org/10.1155/anrp/1031307](https://doi.org/10.1155/anrp/1031307)  \nResearch Article  \nAnalgesic Efficacy of Epidural Neuroplasty via Racz Catheter During Lumbar Fixation In Situ for Lumbosacral Spondylolisthesis: A Randomized Controlled Trial  \nAhmed Shehata Abd Elhamid , 1 Mohammed Said Elsharkawy ,2 Mostafa Mohamed Shaheen ,2 Khaled Hamama ,2 Ahmed Nada 3  \n,  \nand Taysser M. Abdelraheem 2  \n1 Anesthesia and Intensive Care Department, Faculty of Medicine, Port Said University, Port Said, Egypt  \n2 Anesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt 3 Neurosurgery and Neurointerventional Surgery Department, Faculty of Medicine, Port Said University, Port Said, Egypt  \nCorrespondence should be addressed to Ahmed Shehata Abd Elhamid; [as.shehata1982@gmail.com](as.shehata1982@gmail.com)[ ](as.shehata1982@gmail.com)Received 2 September 2025; Revised 26 November 2025; Accepted 18 December 2025  \nAcademic Editor: Harleen Khatra  \nCopyright © 2026 Ahmed Shehata Abd Elhamid et al. Anesthesiology Research and Practice published by John Wiley & Sons Ltd. Tis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nBackground: Efective pain management after lumbar fxation in situ is crucial for improving recovery and quality of life. Epidural neuroplasty via the Racz catheter is a potential method to enhance analgesia by targeting epidural infammation and nerve compression. Tis work assessed the analgesic efcacy ofepidural neuroplasty via a Racz catheter during lumbar fxation in situ forlumbosacral spondylolisthesis.  \nMethods: Tis randomized, double-blinded, controlled study was conducted on 50 patients aged 18–65 years, of both sexes, who had Grade 1 spondylolisthesis, facet osteoarthropathy, and a small disc on radiological fndings. Participants were randomly assigned to two equal groups. Group S received epidural neuroplasty via a Racz catheter during lumbar fxation, and Group C received conventional lumbar steroid injections.  \nResults: Visual analog scale and Oswestry low back disability questionnaire scores were signifcantly diminished immediately postprocedure and at 1, 2, 4, and 6 m in Group S than in Group C (p \u003C 0.05) . Hypotension, paraesthesia, bleeding, and headache exhibited comparability between the two groups. Te patient satisfaction level was signifcantly elevated in the Racz catheter group as opposed to the conventional lumbar group (p \u003C 0.05) .  \nConclusions: Epidural neuroplasty using a Racz catheter during lumbar fxation provides enhanced short-term analgesia, functional recovery, and patient satisfaction compared with conventional lumbar treatment in Grade-1 spondylolisthesis, without increased adverse efects, providing preliminary evidence that warrants validation in larger, long-term studies.  \n[Trial Registration:](Trial Registration: ClinicalTrials.gov)[ ClinicalTrials.gov](Trial Registration: ClinicalTrials.gov) identifer: NCT06684821  \nKeywords: epidural neuroplasty; lumbar fxation; lumbosacral; pain; Racz catheter; spondylolisthesis  \n1. Introduction  \nSpondylolisthesis is a relatively common spinal condition that is classifed into fve main types according to the Wiltse classifcation system: dysplastic, isthmic, degenerative, traumatic, and pathologic [1] . Among these, lumbosacral  \nspondylolisthesis is particularly prevalent. It involves the forward slipping of one vertebra over the one beneath it, often leading to chronic back pain and a variety of neurological symptoms. Tis condition may signifcantly afecta patient’s mobility and overall quality of life, making ita major contributor to spinal morbidity [2] .  \n2 Anesthesiology Research and Practice  \nDespite its potential impact, many people with sp","cbCaib6M8XeGXpD7","https://ap.wps.com/l/cbCaib6M8XeGXpD7","pdf",934151,"English","# Introduction\n## Methods and study design\n## Results\n## Conclusions","[{\"question\":\"What treatment approach was tested in this randomized controlled trial?\",\"answer\":\"Epidural neuroplasty via a Racz catheter during in situ lumbar fixation was compared with conventional lumbar steroid injections.\"},{\"question\":\"How many patients were included and how were they allocated?\",\"answer\":\"The study included 50 patients aged 18–65 years, randomized into two equal groups: Group S (Racz catheter neuroplasty) and Group C (conventional steroid injections).\"},{\"question\":\"What outcomes were used to assess analgesic efficacy and function?\",\"answer\":\"Pain was assessed using visual analog scale scores, and functional status was assessed using the Oswestry low back disability questionnaire at multiple postoperative time points.\"}]","Analgesic Efficacy of Epidural Neuroplasty via Racz Catheter During Lumbar Fixation In Situ for Lumbosacral Spondylolisthesis: A Randomized Controlled Trial | PDF",1790707299]