Cervical Spinal Cord Injury Clinical Trial
Official title:
Prospective Controlled Clinical Study of Individualized, Precise and Standardized Posterior Cervical Open-door Surgery for Cervical Spinal Stenosis
Verified date | February 2023 |
Source | Xijing Hospital |
Contact | Wei Qi |
Phone | +862984771012 |
14556263[@]qq.com | |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
To evaluate the safety and effectiveness of individualized, precise and standardized open-door posterior cervical surgery through a single-center, exploratory clinical study, so as to provide a more reliable basis for the treatment of cervical spinal stenosis.
Status | Recruiting |
Enrollment | 500 |
Est. completion date | December 31, 2024 |
Est. primary completion date | December 31, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 28 Years to 85 Years |
Eligibility | Inclusion Criteria: - The age of 28-85 years old; Through systematic clinical and imaging examination, patients diagnosed with C3-7 multilevel cervical spondylitis myelopathy or cervical spinal stenosis who need to undergo posterior cervical open-door surgery. - No contraindications in preoperative routine tests and examinations. - Informed consent of patients. Exclusion Criteria: - Cervical radiculopathy - Cervical kyphosis or instability - Cervical spondylosis caused by trauma, tumor, tuberculosis and metabolic diseases - Revision surgery or combined anterior-posterior surgery is required - Serious neurological diseases affect the postoperative effect evaluation - Mental illness cannot cooperate with follow-up - Contraindications for MRI examination - Patients themselves or their families do not agree to participate in the study - Other situations that are not suitable for study participation. |
Country | Name | City | State |
---|---|---|---|
China | Qi Wei | Xi'an | Shannxi Province |
Lead Sponsor | Collaborator |
---|---|
Xijing Hospital |
China,
Chen H, Liu H, Zou L, Li T, Gong Q, Song Y, Zeng J, Liu L, Kong Q. Effect of Mini-plate Fixation on Hinge Fracture and Bony Fusion in Unilateral Open-door Cervical Expansive Laminoplasty. Clin Spine Surg. 2016 Jul;29(6):E288-95. doi: 10.1097/BSD.0000000000000131. — View Citation
Schmeiser G, Bergmann JI, Papavero L, Kothe R. Surgical Treatment of Multilevel Degenerative Cervical Myelopathy: Open-Door Laminoplasty and Fixation via Unilateral Approach. A Feasibility Study. J Neurol Surg A Cent Eur Neurosurg. 2022 Sep;83(5):494-501. doi: 10.1055/s-0041-1739224. Epub 2021 Dec 15. — View Citation
Yeh KT, Lee RP, Chen IH, Yu TC, Liu KL, Peng CH, Wang JH, Wu WT. Laminoplasty instead of laminectomy as a decompression method in posterior instrumented fusion for degenerative cervical kyphosis with stenosis. J Orthop Surg Res. 2015 Sep 4;10:138. doi: 10.1186/s13018-015-0280-y. — View Citation
Yuan W, Zhu Y, Liu X, Zhu H, Zhou X, Zhou R, Cui C, Li J. Postoperative three-dimensional cervical range of motion and neurological outcomes in patients with cervical ossification of the posterior longitudinal ligament: Cervical laminoplasty versus laminectomy with fusion. Clin Neurol Neurosurg. 2015 Jul;134:17-23. doi: 10.1016/j.clineuro.2015.04.004. Epub 2015 Apr 17. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | JOA score change | Japanese Orthopedic Association (JOA) score is used to assess the function of spinal cord which is in the form of questionnaires. Postoperative improvement rate = ((postoperative score - preoperative score)/ (17- preoperative score)) X100%. Improvement rate can also correspond to the commonly used efficacy criteria: cure when the improvement rate is 100%, effective when the improvement rate is greater than 60%, effective when 25-60%, and ineffective when less than 25%. | pre-operation,3 months after surgery, 6 months after surgery, 1 year after surgery | |
Primary | NDI score change | Neck Disability Index (NDI) score is used to assess the disorder of spinal cord which is in the form of questionnaires. Postoperative improvement rate = (total score)/ (numbers of program X5) X100%. Improvement rate can also correspond to the commonly used efficacy criteria: the improvement rate when 60%-80% means extremely severe dysfunction, when 40%-60% means severe dysfunction, when 20-40% means moderate dysfunction, and when less than 20% means mild dysfunction. | pre-operation,3 months after surgery, 6 months after surgery, 1 year after surgery | |
Primary | VAS score | A Visual Analogue Scale (VAS) is used to measure the amount of pain that a patient feels ranges across a continuum from none to an extreme amount of pain. Using a ruler, the score is determined by measuring the distance (mm) on the 10cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity. | pre-operation,3 months after surgery, 6 months after surgery, 1 year after surgery | |
Secondary | Maximum spinal cord compression change | This index was measured by MRI, which was the ratio of the diameter of the cervical pulp at the most compressed segment to the mean diameter of the cervical pulp at the upper and lower segments without compression. | pre-operation,3 months after surgery, 6 months after surgery, 1 year after surgery | |
Secondary | Compression ratio change | This index was measured by MRI, which means the minimum sagittal diameter of the cervical pulp in the most compressed segment divided by maximum transverse diameter. | pre-operation,3 months after surgery, 6 months after surgery, 1 year after surgery | |
Secondary | Transverse area change | This index was measured by MRI, which means the cross-sectional area of the cervical pulp at the highest level of compression. | pre-operation,3 months after surgery, 6 months after surgery, 1 year after surgery |
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