Anterior Vs Posterior Procedures for Cervical Spondylotic Myelopathy: Prospective Randomized Clinical Trial
NCT ID: NCT00876603
Last Updated: 2010-01-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
100 participants
OBSERVATIONAL
2001-05-31
2020-12-31
Brief Summary
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Detailed Description
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Although there are many options available for the surgical treatment of cervical spondylotic myelopathy, the choice of surgical approach for CSM is still a controversial issue. Most of the surgeons select the surgical approach based on the number of levels involved and the alignment of the spine. Anterior procedure is generally recommended for patients with compression of less than 3 levels or in patients with kyphotic alignment, while posterior decompression is suggested for three or more levels of compression. Retrospective clinical study however has shown that both anterior and posterior surgeries could produce comparable results. There is no scientific data based on randomized, prospective clinical studies comparing the various surgical alternatives. The existing information does not clearly favor any one single approach or operative option. Since anterior and posterior surgeries carries different risks, it is important to identify the most appropriate surgical procedure that is supported by evidence rather than just by surgeons preference.
The objective of this study is to compare the long-term clinical outcome of anterior approach versus posterior approach in the treatment of cervical myelopathy caused by degenerative disease of the cervical spine.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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1
No interventions assigned to this group
2
No interventions assigned to this group
CSM - ACDF
Cervical spondylotic myelopathy treated with anterior cervical decompression and fusion
ACDF
Anterior cervical decompression and fusion
CSM - Cervical laminoplasty
Cervical spondylotic myelopathy treated with cervical laminoplasty
Cervical laminoplasty
Cervical laminoplasty
Interventions
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ACDF
Anterior cervical decompression and fusion
Cervical laminoplasty
Cervical laminoplasty
Eligibility Criteria
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Inclusion Criteria
* Involved levels limited to 1, 2 and 3 continuous levels
Exclusion Criteria
* Cervical kyphosis
* Cervical myelopathy caused by high energy trauma
* Female \> 70 years old or patients with severe osteoporosis
* High anaesthetic risk
* Cervical myelopathy other than transverse type
* Cervical myelopathy caused by ossification of posterior longitudinal ligament or inter-vertebral disc herniation.
40 Years
80 Years
ALL
No
Sponsors
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The University of Hong Kong
OTHER
Responsible Party
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Department of Orthopaedics and Traumatology, The University of Hong Kong.
Principal Investigators
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Wai Yuen Cheung, MBBS, FRCS
Role: PRINCIPAL_INVESTIGATOR
Department of Orthopaedics and Traumatology, The University of Hong Kong
Keith DK Luk, MBBS, FRCS
Role: STUDY_DIRECTOR
Department of Orthopaedics and Traumatology, The Universityof Hong Kong
Kenneth MC Cheung, MBBS, FRCS
Role: STUDY_DIRECTOR
Department of Orthopaedics and Traumatology, The University of Hong Kong
Yat Wa Wong, MBBS, FRCS
Role: PRINCIPAL_INVESTIGATOR
Department of Orthopaedics and Traumatology, The University of Hong Kong.
Locations
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The Duchess of Kent Children's Hospital
Hong Kong, Hong Kong, China
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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A Vs P Decompression for CSM
Identifier Type: -
Identifier Source: org_study_id
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