Neurologic Deficits Clinical Trial
Official title:
NeruoVision Versus Standard Hospital Neuromonitoring, Influence on the Rate of Neurologic Injury Following Spine Surgery? A Randomized Controlled Trial
Verified date | March 2024 |
Source | Rush University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to perform a prospective, randomized, controlled clinical trial to assess the utility of IONM in patients undergoing primary, single or multilevel lateral spinal procedures. Subjects will be randomized to undergo a lateral spine surgery with the use of NeuroVision® IONM or conventional hospital based IONM to assess incidence of new-onset neurological injury.
Status | Recruiting |
Enrollment | 148 |
Est. completion date | June 20, 2026 |
Est. primary completion date | December 20, 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Patients undergoing a primary single or multilevel lateral spinal surgery procedures for degenerative pathology Diagnosis: myelopathy, radiculopathy, myeloradiculopathy, central stenosis, foraminal stenosis herniated nucleus pulposus, degenerative disc disease, spondylosis, and osteophytic complexes - Patients able to provide informed consent Exclusion Criteria: - Active infection - Active or history of malignancy - Spinal traumatic injury within the past 2 years |
Country | Name | City | State |
---|---|---|---|
United States | Rush University Medical Center | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Rush University Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of new-onset neurological injury | Decreased somatosensory evoked potentials (SSEP) and transcranial MEPs (tcMEPs) | Enrollment up to 2 years postoperatively | |
Secondary | Cost analysis of IONM use | Difference in costs of hospital IONM and Neurovision | Enrollment up to 1 month post-operative | |
Secondary | False positive and false negative events in each modality | Incorrect labeling of SSEP, tcMEP, and surface electromyography (sEMG) signals | Intraoperatively up to 1 day post-operative | |
Secondary | Adverse Events | Post-operative nausea and vomiting, Gastro-esophageal reflux, ileus, urinary tract infection, venous thromboembolic events, Respiratory depression/airway compromise,m renal insufficiency, wound complications | Postoperative to documented progress assessed up to 2 months |
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