Laminoplasty Versus Laminectomy With Lateral Mass Fixation in Management of Degenerative Cervical Canal Stenosis
NCT ID: NCT07177651
Last Updated: 2025-09-17
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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NOT_YET_RECRUITING
NA
2 participants
INTERVENTIONAL
2025-10-04
2027-03-01
Brief Summary
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Detailed Description
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Laminoplasty is a posterior approach that involves the surgical widening of the spinal canal by reshaping or repositioning the lamina. However, some patients with cervical stenosis, particularly those with accompanying spinal instability or degenerative changes, may not achieve satisfactory outcomes with laminoplasty alone. In such cases, lateral mass fixation is often added to provide supplemental stability to the spine, potentially preventing postoperative deformities and enhancing long-term outcomes
Lateral mass fixation is often combined with posterior decompression and typically done as part of a posterior cervical fusion where screws are placed into the lateral masses (bony structures on the sides of the vertebrae) to stabilize the cervical spine after decompression, such as through a laminectomy. This procedure sacrifices some motion for stability.
A comparative study is needed to better understand the advantages and disadvantages of each approach, in order to guide clinical decision-making and improve patient outcomes.
The general aim is to evaluate and compare the clinical outcomes, safety, and effectiveness of both surgical techniques in managing this condition.
The specific aim is to compare the clinical efficacy, assess the radiological outcomes, evaluate the surgical and postoperative complication and investigate long-term outcomes and instability.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Laminoplasty
Laminoplasty
Is a posterior approach that involves the surgical widening of the spinal canal by reshaping or repositioning the lamina. However, some patients with cervical stenosis
Laminectomy with lateral mass fixation
Laminectomy with lateral mass fixation
Posterior cervical decompression with lateral mass screw insertion
Interventions
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Laminoplasty
Is a posterior approach that involves the surgical widening of the spinal canal by reshaping or repositioning the lamina. However, some patients with cervical stenosis
Laminectomy with lateral mass fixation
Posterior cervical decompression with lateral mass screw insertion
Eligibility Criteria
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Inclusion Criteria
* Surgical indication for cervical decompression.
* Adequate follow up data (minimum 1 year).
* Patients fit for surgery.
Exclusion Criteria
* Congenital deformities or significant spinal deformities unrelated to stenosis.
* Patients with cervical kyphosis, active infection or known allergy to titanium.
* Previous cervical spine surgery.
40 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Fahd Abdel Sabour Ahmed Mohammed
Principal investigator, specialist , neurosurgery department
Principal Investigators
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Mahmoud Hassan Ragab
Role: STUDY_DIRECTOR
Assiut University hospital, neurosurgery department
Abdel Hakeem Abdel Sattar
Role: STUDY_DIRECTOR
Assiut University, neurosurgery department
Central Contacts
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Fahd Abdel sabour Ahmed Fahd Abdel Sabour Ahmed, Master degree in neurosurgery
Role: CONTACT
References
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https://www.asianspinejournal.org/journal/view.php?doi=10.4184%2Fasj.2016.10.3.536
Related Links
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Related Info
Other Identifiers
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Posterior cervical approaches
Identifier Type: -
Identifier Source: org_study_id
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