Single Level Anterior Cervical Corpectomy Without Posterior Stabilization
NCT ID: NCT05479864
Last Updated: 2022-07-29
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
NA
20 participants
INTERVENTIONAL
2022-08-31
2023-04-30
Brief Summary
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Detailed Description
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While ACCF effectively decompresses the spinal cord, it is debated whether it can provide enough cervical stability, or an additional posterior fixation (PF) is required. Studies show that in multi-level anterior cervical corpectomy, additional posterior fixation provides extra support to improve cervical stability whether it is performed initially, or later as a supplementary surgery if material failure or instability occurred, On the other hand, in single level corpectomy, it remains controversial as single level ACCF showed sufficient stability in the majority of cases without additional support but pathologies affecting bone quality like infections and neoplasms seemed to be risk factor for construct failure and instability so additional PF was required .
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Anterior cervical corpectomy and fusion
removal of damaged vertebrae and intervertebral disc that are compressing the spinal cord and spinal nerves. Various graft materials or spacers are used to maintain height and stability followed by anterior plating
anterior cervical corpectomy and fusion
removal of damaged vertebrae and intervertebral disc that are compressing the spinal cord and spinal nerves
Interventions
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anterior cervical corpectomy and fusion
removal of damaged vertebrae and intervertebral disc that are compressing the spinal cord and spinal nerves
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients who are not available for 6 months follow up
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Ahmed Ragab Hassan Alshemy
Principal investigator
Central Contacts
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References
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Nouri A, Tetreault L, Singh A, Karadimas SK, Fehlings MG. Degenerative Cervical Myelopathy: Epidemiology, Genetics, and Pathogenesis. Spine (Phila Pa 1976). 2015 Jun 15;40(12):E675-93. doi: 10.1097/BRS.0000000000000913.
Perez-Cruet MJ, Samartzis D, Fessler RG. Anterior cervical discectomy and corpectomy. Neurosurgery. 2006 Apr;58(4 Suppl 2):ONS-355-9; discussion ONS-359. doi: 10.1227/01.NEU.0000205285.20336.C2.
Other Identifiers
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spine surgery
Identifier Type: -
Identifier Source: org_study_id