Subarachnoid-Subarachnoid (S-S) Bypass Versus Adhesion Lysis in Spinal Arachnoiditis and Syringomyelia

About this trial

This trial is enrolling 200 participants with spinal arachnoiditis and syringomyelia related to spinal cord injury or other infection. The study will compare the effect of two treatment procedures: a Subarachnoid-Subarachnoid (S-S) bypass, which creates a new pathway for cerebrospinal fluid to flow when the natural flow is obstructed; or an intradural adhesion lysis, a surgery that removes or releases scar tissue within the dura mater, the tough outer layer membrane around the cord. Both procedures address symptoms related to abnormal spinal fluid dynamics and spinal cord compression. If included, participants will receive either the S-S bypass or intradural adhesion lysis. Assessment of patient outcomes, complications, and quality of life will be performed after 3-6 months, 12 months and 24 months.