Compare Different Cervical Anterior Discectomy Procedures by After Procedure Sagittal Alignment on Radiograph

NCT ID: NCT03360409

Last Updated: 2017-12-04

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-01

Study Completion Date

2020-06-01

Brief Summary

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Patients with single-level cervical degenerative disc disease commonly undertook anterior discectomy. To compare the effect of anterior cervical discectomy without fusion (ACD), anterior cervical discectomy with fusion by stand-alone cage (ACDF) or anterior cervical discectomy with arthroplasty (ACDA), a multiple center randomised controlled trial will be performed in patients with single-level cervical disease. The primary outcome will be cervical alignment by upright cervical spine radiographs estimated by Harrison posterior tangent method.

Detailed Description

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This study will use a multiple center open-label randomised controlled trial to estimate the effect of ACD, ACDF, ACDA for single-level cervical degenerative disc. Patients with arm pain not responding to conservative treatment take part in this trial. They will be randomised assigned into 3 parallel arms. The participants in the each arm will undertake ACD ACDF or ACDA. The baseline is the day of surgery. The Harrison posterior tangent method was used as an estimate for measuring cervical alignment. The primary outcome will be the cervical sagittal alignment estimated by Harrison posterior tangent method.

Conditions

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Cervical Disc Degeneration

Keywords

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Cervical Disc Degeneration cervical anterior discectomy Spinal alignment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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grade 1

ACD

Group Type EXPERIMENTAL

ACD

Intervention Type PROCEDURE

Undertake anterior cervical discectomy without fusion

grade 2

ACDF

Group Type ACTIVE_COMPARATOR

ACDF

Intervention Type PROCEDURE

anterior cervical discectomy with fusion

grade 3

ACDA

Group Type ACTIVE_COMPARATOR

ACDA

Intervention Type PROCEDURE

anterior cervical discectomy with arthroplasty

Interventions

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ACD

Undertake anterior cervical discectomy without fusion

Intervention Type PROCEDURE

ACDF

anterior cervical discectomy with fusion

Intervention Type PROCEDURE

ACDA

anterior cervical discectomy with arthroplasty

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients with arm pain not responding to conservative treatment
* lasted longer than 10 weeks
* single level disc degeneration
* mobile spine on dynamic lateral cervical X-rays

Exclusion Criteria

* severe cardiopulmonary comorbidity
* suspected underlying malignant disease
* radicular syndrome
* spinal-cord compression syndrome
* contraindication for radiography
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhu Zhenqi

department of spinal surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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zhenqi zhu

Role: STUDY_DIRECTOR

PekingUPH department of spinal surgery

Central Contacts

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chen guo

Role: CONTACT

Phone: 8618055644700

Email: [email protected]

Other Identifiers

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CACD3

Identifier Type: -

Identifier Source: org_study_id