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Spinal Diseases clinical trials

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NCT ID: NCT04990804 Terminated - Surgery Clinical Trials

Opioid Free vs. Standard Perioperative Pain Regimen for Anterior Cervical Discectomy and Fusion (ACDF) Surgery

Start date: August 1, 2021
Phase: Phase 4
Study type: Interventional

Patients undergoing 1-3 level Anterior Cervical Discectomy and Fusion (ACDF) at the levels between C2 and T1 will be enrolled into this randomized prospective study. All patients enrolled in this study will undergo a trial of non-surgical treatment prior to the recommendation for surgery. After enrollment, patients will be randomized utilizing a block randomization strategy to one of two treatment groups - a standard opioid-containing postoperative pain regimen versus a non-opioid postoperative pain regimen. Postoperative outcomes will be assessed.

NCT ID: NCT04983576 Completed - Clinical trials for Surgery--Complications

Risk Factors for Mechanical Failure After Spinal Fusion : an Observational Study

RachideMDS
Start date: August 30, 2021
Phase:
Study type: Observational

The aim of this of study is to identify the incidence of mechanical failures after spinal fusion within one year of surgery and to assess the related risk factors.

NCT ID: NCT04956588 Completed - Spine Disease Clinical Trials

Evaluation of the Safety and Efficacy of Smart Orthopedic Minimally Invasive Surgical Systems for Spinal Surgery

Start date: September 1, 2017
Phase: Phase 3
Study type: Interventional

To evaluate the safety and effectiveness of the intelligent orthopedic minimally invasive surgery system developed by Shenzhen Xinjunte Intelligent Medical Equipment Co., Ltd. in spinal surgery.

NCT ID: NCT04955483 Completed - Spinal Disease Clinical Trials

Virtual Single-energy Imaging and De-metallic Artifact Technology in Reducing Spinal Metallic Artifacts

Start date: December 1, 2018
Phase:
Study type: Observational

1. Compare the effect of virtual single energy imaging and virtual single energy combined with MAR technology to remove metal artifacts in the spine. 2. Discuss the most suitable KeV of virtual single energy imaging combined with MAR technology to remove metal artifacts.

NCT ID: NCT04954963 Completed - Spinal Disease Clinical Trials

CT Mar Technology and MR Mavric, Semac Sequence in Removing Artifacts of Orthopedic Metal Internal Fixation

Start date: December 1, 2019
Phase:
Study type: Observational

1. Objective to compare the effect of single energy imaging and mar technology in reducing artifacts of knee and hip replacement, and to explore the appropriate keV range of Mar technology in removing metal artifacts.,2. Objective to compare the effects of different MRI sequences (mavric / semac, stir, ideal, FSE) in removing artifacts of spinal internal fixation, knee and hip replacement.

NCT ID: NCT04927273 Completed - Spine Disease Clinical Trials

Availability of Spine Neuronavigation in Africa

Start date: January 24, 2021
Phase:
Study type: Observational [Patient Registry]

In this study, the availability of spine neuronavigation in Africa was evaluated. Access to surgical equipment is an important goal of global surgery and global neurosurgery. The study findings show that there are regional differences in access to spine neuronavigation techniques and highlight that the major barriers to increased prevalence are cost and lack of trained personnel.

NCT ID: NCT04877470 Completed - Spinal Disease Clinical Trials

Baseline-characteristics of Patients Referred to a Secondary Spine Centre

CHAPARS
Start date: February 24, 2021
Phase:
Study type: Observational

A retrospective cohort study will be conducted in Zuyderland Medical Centre Heerlen, the Netherlands. All patients that were referred to the spine-centre between 01.01.2019 and 31.12.2019 will be included for analysis. This study aims to evaluate baseline characteristics, including baseline questionnaires, and information about the given treatments for all patients referred to the spine centre.

NCT ID: NCT04876586 Completed - Clinical trials for Degenerative Disc Disease

The SPINUS I Study: Spinal Fusion for a Single Level SPECT/CT Positive Lumbar Degenerative Disc Disease

Start date: January 1, 2018
Phase:
Study type: Observational

The aim of the present study is to find out whether fusion of a sinlge level SPECT/CT positive degenerative disc disease leads to a significant improvement of pain and disability.

NCT ID: NCT04834141 Completed - Balance Clinical Trials

Correlation Between Thoracic Kyphosis Posture and Static Balance

Start date: October 13, 2020
Phase:
Study type: Observational [Patient Registry]

The effects of balanced posture and postural changes have been evaluated in specific populations with different factors that can affect body postures and balance, such as age, musculoskeletal system, and other metabolic diseases. Studies on postural kyphosis and balance involvement are very few in the literature especially in the health population. Of the few studies that have evaluated kyphosis and balance, most are limited by small sample size and the exclusion of men. Many have focused primarily on the geriatric population. The determination that the effect of thoracic kyphosis posture on trunk biomechanical alignment may be related to balance may contribute to new treatment recommendations in this area. The aim of this study is to investigate whether the thoracic kyphosis posture has an effect on static balance.

NCT ID: NCT04825522 Recruiting - Spine Disease Clinical Trials

The Effect of Intrawound Vancomycin Powder in Spine Surgery

Start date: March 27, 2022
Phase: Phase 4
Study type: Interventional

Problem: Postoperative wound infection following various spinal surgeries is a serious complication. The incidence of post-surgical wounds in spine surgery is high, and various researchers have reported different infection rates. In addition, increased healthcare costs, prolonged lengths of stay in hospital, and reduced quality of life as a result of surgical site infections (SSI) are also major concerns. Several methods for avoiding SSI, such as betadine irrigation, vacuum-assisted closure, and intra-wound vancomycin powder, have been used to reduce the rate of wound infection in spine surgery. Use of local vancomycin has been popular because of its protective effects and lower cost. According to some reports, prophylactic administration of intra-wound vancomycin powder before wound closure is an effective method for decreasing postoperative wound infection rates; however, other studies have revealed a non-significant effect of intra-wound vancomycin use for decreasing the postsurgical wound infection rate. Solution: Therefore, the investigators will prospectively randomize all various types of spinal surgeries to patients who will receive intrawound vancomycin powder and control group who will not receive the powder and to see it's effect in reducing the post-surgical infection.