Percutaneous Trans-facet Spine Fixation

NCT ID: NCT07001969

Last Updated: 2025-06-03

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-07

Study Completion Date

2027-07-07

Brief Summary

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Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Detailed Description

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Massoud-Goel' as rationale treatment for treatment spinal degeneration affected spinal segments using trans-articular screws, without physically distracting the facets, or removal of any part of the bone or ligament.

Following fixing of the segment, all the secondary phenomenon reverse, effectively increasing the canal size and reversing the effects of spinal degeneration and spinal canal stenosis.

Stabilizes the region and provides an environment for resorption of the herniated disc and ultimate arthrodesis of the spinal segments.

Conditions

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Degenerative Spine Degeneration of Lumbar Intervertebral Disc Degenerative Cervical Disc Disease Ligamentum Flavum Hypertrophy Spinal Canal Stenosis Spine Instability

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Percutaneous Trans-Facet Fixation Using the Massoud-Goel Technique and Theory for Degenerative Spine

This study arm involves the use of Percutaneous Trans-Facet Fixation (PTFF) with the Massoud-Goel Technique and Theory (MGT) for the treatment of degenerative spine conditions, Looking for signs of instability. In this arm will undergo minimally invasive trans-facet screw fixation to provide spinal stability while preserving mobility and reducing soft tissue disruption.

The intervention includes:

* Preoperative Assessment: MRI and CT scans to evaluate facet joint degeneration and spinal instability.
* Surgical Technique: Percutaneous placement of facet screws under fluoroscopic guidance, following the principles of the Massoud-Goel Technique.
* Postoperative Care: Patients will follow a structured rehabilitation program, including pain management and physiotherapy, to assess functional recovery and long-term outcomes.

The study aims to evaluate radiological fusion rates, pain relief (VAS scores), functional improvement (ODI scores), and complication rates associations.

Group Type EXPERIMENTAL

Massoud-Goel Technique and Theory

Intervention Type PROCEDURE

Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine

Intervention Type PROCEDURE

Percutaneous Trans-facet Fixation (Developmental of Dr Atul goel technique of transfacet fixation by open surgery using Magrel technique) Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Interventions

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Massoud-Goel Technique and Theory

Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Intervention Type PROCEDURE

Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine

Percutaneous Trans-facet Fixation (Developmental of Dr Atul goel technique of transfacet fixation by open surgery using Magrel technique) Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

For Lumbar Sub-axial cervical instability Clinical radicular symptoms can indicate the level of spinal instability. The presence of osteophytes. Reduction of the intervertebral disc space. Disc prolapse. Ligamentum flavum buckling. For atlantoaxial instability Cervical myelopathy clinical Alteration of atlantodental interval on dynamic flexion-extension images.

Exclusion Criteria

1. Cauda equine syndrome
2. Progressive motor weakness
3. Failed damage control method
4. Spondylolisthesis, Spondyolysis.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role collaborator

Military Academy for Medical Sciences

UNKNOWN

Sponsor Role collaborator

Mahmoud Massoud

OTHER

Sponsor Role lead

Responsible Party

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Mahmoud Massoud

Lecturer Orthopedic surgery department Orthopedic Surgery AFCM Cairo Egypt, Consultant spine surgery Helmya Military hospital, Spine unit.

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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434

Cairo, Shorouk, Egypt

Site Status

Countries

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Egypt

References

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Borm W, Konig RW, Albrecht A, Richter HP, Kast E. Percutaneous transarticular atlantoaxial screw fixation using a cannulated screw system and image guidance. Minim Invasive Neurosurg. 2004 Apr;47(2):111-4. doi: 10.1055/s-2004-818449.

Reference Type BACKGROUND
PMID: 15257485 (View on PubMed)

Magerl FP. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop Relat Res. 1984 Oct;(189):125-41.

Reference Type BACKGROUND
PMID: 6478690 (View on PubMed)

BOUCHER HH. A method of spinal fusion. J Bone Joint Surg Br. 1959 May;41-B(2):248-59. doi: 10.1302/0301-620X.41B2.248. No abstract available.

Reference Type BACKGROUND
PMID: 13641310 (View on PubMed)

KING D. Internal fixation for lumbosacral fusion. J Bone Joint Surg Am. 1948 Jul;30A(3):560-5. No abstract available.

Reference Type BACKGROUND
PMID: 18109577 (View on PubMed)

Goel A. Goel's classification of atlantoaxial "facetal" dislocation. J Craniovertebr Junction Spine. 2014 Jan;5(1):3-8. doi: 10.4103/0974-8237.135206. No abstract available.

Reference Type BACKGROUND
PMID: 25013340 (View on PubMed)

Satoskar SR, Goel AA, Mehta PH, Goel A. Quantitative morphometric analysis of the lumbar vertebral facets and evaluation of feasibility of lumbar spinal nerve root and spinal canal decompression using the Goel intraarticular facetal spacer distraction technique: A lumbar/cervical facet comparison. J Craniovertebr Junction Spine. 2014 Oct;5(4):157-62. doi: 10.4103/0974-8237.147079.

Reference Type BACKGROUND
PMID: 25558146 (View on PubMed)

Goel A. From "only decompression" to "only fixation:" A century-long journey of surgical treatment for spinal spondylosis. J Craniovertebr Junction Spine. 2018 Oct-Dec;9(4):219-220. doi: 10.4103/jcvjs.JCVJS_118_18. No abstract available.

Reference Type BACKGROUND
PMID: 30783342 (View on PubMed)

Study Documents

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Document Type: Individual Participant Data Set

Book of author about technique

View Document

Related Links

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https://t.me/drmassoud77/24301

Collection of auther about the theory and the technique

Other Identifiers

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EGY-2025-PTFF-MGT-001

Identifier Type: -

Identifier Source: org_study_id

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