Idiopathic Scoliosis Clinical Trial
Official title:
Limited-efficacy Testing of Spring Distraction System (SDS) and Unilateral One-way Rod (MID-C) for Early Onset Scoliosis
The primary aim of this study is to investigate the limited efficacy of these innovative surgical solutions in treatment of Early Onset Scoliosis (EOS) in terms of maintaining reduction while maintaining spinal growth. The secondary aim is to compare both devices for these and other parameters as well as safety.
Rationale: EOS is a severe and potentially life-threatening disorder since a disturbance of
spinal development leads to impaired development of the trunk, with cardio-respiratory
failure as a result, often early in adult life. Several innovative solutions have been
developed to treat growing children with severe EOS. The SDS device was developed internally
at the dpt. of orthopedics at the UMC Utrecht, the Netherlands, the MID-C device was
developed by the company ApiFix Ltd.
Objective: The primary aim of this study is to investigate the limited efficacy of these
innovative surgical solutions in treatment of early onset scoliosis in terms of maintaining
reduction while maintaining spinal growth. The secondary aim is to compare both devices for
these and other parameters as well as safety.
Study design: A feasibility study using two prospective cohorts according to an open label
randomized clinical trial (RCT) design. The study will be done in two tertiary referral
centers (UMC Utrecht and Amsterdam UMC). Primary endpoints are maintenance of curve
correction as well as complications. These data will be compared to a recently described
cohort of patients that received a "standard treatment" (Magnetically controlled growing rod
(MCGR)). The same endpoints as well as secondary outcomes, will be compared between the two
new treatments.
Study population: Children with idiopathic(-like) early onset scoliosis with an indication
for a growing rod implant.
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