Evaluating Vertebroplasty and Kyphoplasty for Reducing Trauma-related Fractures
Evaluating Transcutaneous Vertebroplasty and Kyphoplasty for Reducing Trauma-related Fractures: a Randomized Pilot Study Using Catscan Volumetry
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 3 months of follow-up
- Fracture type according to Magerl Classification (1994) must be one of the following: A1, A2.1, A3.1, A3.2
- Cyphose of >10°
- Spinal pain
- Vertebral fracture < 3 weeks old located between D5 and L5
- If fragments in the canal, they must protrude less than 40%
- Absence of other lesions, including cancer
Exclusion Criteria:
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- Patient cannot read French
- Patient is pregnant or breast feeding
- Patient has a fracture on an adjacent vertebra
- Patient has a contra-indication for a treatment used in this study
- ASA class IV or V
- Patient has a neurological deficit
- Previous spinal surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Kyphoplasty
Patients randomized to this arm will be treated via balloon kyphoplasty.
|
Patients will be treated via a balloon kyphoplasty surgical procedure
|
|
Active Comparator: Vertebroplasty
Patients randomized to this arm will be treated via vertebroplasty.
|
Patients will be treated via a transcutaneous vertebroplasty procedure.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The volume (cm^3) of injected ciment
Time Frame: Baseline (Day 0)
|
The volume of injected ciment is measured by catscan extrapolated data.
|
Baseline (Day 0)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recovery of vertebral volume (%)
Time Frame: Day 1 to Day 7
|
Recovery of vertebral volume relative to theoretical volume based on neighboring vertebra.
|
Day 1 to Day 7
|
|
Change from baseline of the cyphotic angle (°)
Time Frame: Days 1 to 7
|
The number of degrees of change in the cyphotic angle of the corrected vertebra relative to baseline measurement (°)
|
Days 1 to 7
|
|
Change from baseline of the cyphotic angle (°)
Time Frame: 1 month
|
The number of degrees of change in the cyphotic angle of the corrected vertebra relative to baseline measurement (°)
|
1 month
|
|
Change from baseline of the cyphotic angle (°)
Time Frame: 3 months
|
The number of degrees of change in the cyphotic angle of the corrected vertebra relative to baseline measurement (°)
|
3 months
|
|
Change from baseline in vertebral height (mm)
Time Frame: Days 1 to 7
|
Change in vertebra height (mm) before and after surgery
|
Days 1 to 7
|
|
Change from baseline in vertebral height (mm)
Time Frame: 1 month
|
Change in vertebra height (mm) before and after surgery
|
1 month
|
|
Change from baseline in vertebral height (mm)
Time Frame: 3 months
|
Change in vertebra height (mm) before and after surgery
|
3 months
|
|
Volume of ciment leakage (cm^3)
Time Frame: Day 1
|
The volume of ciment leakage will be determined according to catscan data.
|
Day 1
|
|
Change in Visual Analog Scale (0 to 10) for pain before and after surgery
Time Frame: Day 0 (post-op)
|
Brute change in Visual Analog Scale (0 to 10) for pain before and after surgery
|
Day 0 (post-op)
|
|
Change in Visual Analog Scale (0 to 10) for pain before and after surgery
Time Frame: 1 month
|
Brute change in Visual Analog Scale (0 to 10) for pain before and after surgery
|
1 month
|
|
Change in Visual Analog Scale (0 to 10) for pain before and after surgery
Time Frame: 3 months
|
Brute change in Visual Analog Scale (0 to 10) for pain before and after surgery
|
3 months
|
|
% Change in Visual Analog Scale (0 to 10) for pain before and after surgery
Time Frame: Day 0 (post-op)
|
The percentage change (%) in Visual Analog Scale (0 to 10) for pain before and after surgery
|
Day 0 (post-op)
|
|
% Change in Visual Analog Scale (0 to 10) for pain before and after surgery
Time Frame: 1 month
|
The percentage change (%) in Visual Analog Scale (0 to 10) for pain before and after surgery
|
1 month
|
|
% Change in Visual Analog Scale (0 to 10) for pain before and after surgery
Time Frame: 3 months
|
The percentage change (%) in Visual Analog Scale (0 to 10) for pain before and after surgery
|
3 months
|
|
The change in the ODI score before and after surgery
Time Frame: 3 months
|
The change in the Oswestry Disability Index before and after surgery
|
3 months
|
|
The % change in the ODI score before and after surgery
Time Frame: 3 months
|
The percentage change (%) in the Oswestry Disability Index before and after surgery
|
3 months
|
|
Change in SF-36 quality of life score before and after surgery
Time Frame: 1 month
|
Change in SF-36 quality of life score before and after surgery
|
1 month
|
|
Change in SF-36 quality of life score before and after surgery
Time Frame: 3 months
|
Change in SF-36 quality of life score before and after surgery
|
3 months
|
|
The % change in SF-36 quality of life score before and after surgery
Time Frame: 1 month
|
Percentage change (%) in SF-36 quality of life score before and after surgery
|
1 month
|
|
The % change in SF-36 quality of life score before and after surgery
Time Frame: 3 months
|
Percentage change (%) in SF-36 quality of life score before and after surgery
|
3 months
|
|
Change in FABQ score before and after surgery
Time Frame: 1 month
|
Change in the Fear-Avoidance Beliefs Questionnaire score before and after surgery
|
1 month
|
|
Change in FABQ score before and after surgery
Time Frame: 3 months
|
Change in the Fear-Avoidance Beliefs Questionnaire score before and after surgery
|
3 months
|
|
% Change in FABQ score before and after surgery
Time Frame: 1 month
|
Percentage change (%) in the Fear-Avoidance Beliefs Questionnaire score before and after surgery
|
1 month
|
|
% Change in FABQ score before and after surgery
Time Frame: 3 months
|
Percentage change (%) in the Fear-Avoidance Beliefs Questionnaire score before and after surgery
|
3 months
|
|
Change in DPQ score before and after surgery
Time Frame: 1 month
|
Change in the Dallas Pain Questionnaire score before and after surgery
|
1 month
|
|
Change in DPQ score before and after surgery
Time Frame: 3 months
|
Change in the Dallas Pain Questionnaire score before and after surgery
|
3 months
|
|
% Change in DPQ score before and after surgery
Time Frame: 3 months
|
Percentage change (%) in the Dallas Pain Questionnaire score before and after surgery
|
3 months
|
|
% Change in DPQ score before and after surgery
Time Frame: 1 month
|
Percentage change (%) in the Dallas Pain Questionnaire score before and after surgery
|
1 month
|
|
Duration of surgery (minutes)
Time Frame: Day 0 (day of surgery)
|
Length of operative time (minutes)
|
Day 0 (day of surgery)
|
|
Presence / absence of per-operative complications
Time Frame: Day 0 (day of surgery)
|
Presence / absence of per-operative complications
|
Day 0 (day of surgery)
|
|
Presence / absence of post-operative complications
Time Frame: 1 month
|
Presence / absence of post-operative complications
|
1 month
|
|
Presence / absence of post-operative complications
Time Frame: 3 months
|
Presence / absence of post-operative complications
|
3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Pascal Kouyoumdjian, MD, Centre Hospitalier Universitaire de Nîmes
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LOCAL/2011/PK-04
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