Surgical Outcomes Using Variable Rod Diameters in the Treatment of Idiopathic Scoliosis

January 15, 2013 updated by: Terri Green, Shriners Hospitals for Children
There are two rod sizes routinely used for the correction of juvenile and adolescent idiopathic scoliosis, 5.5mm and 6.35mm, typically stainless steel. Currently there is no scientific evidence supporting the superiority of one size rod relative to the other. This study will evaluate the amount of radiographic correction obtained using the 5.5mm versus the 6.35mm spinal instrumentation rods.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

For the correction of Juvenile and Adolescent idiopathic scoliosis, companies offer and surgeons use varying rod sizes not based on scientific evidence, but because of personal preference, availability and company loyalty. To date there has been no literature evaluating the benefit or harm of one rod size versus the other. Our dual-arm prospective study will evaluate the amount of radiographic correction obtained using the 5.5mm versus the 6.35mm stainless steel instrumentation rods. These are both standard rods used in the community for this particular procedure, thus no additional risk exists for the patient. The results of this study will help guide surgeons in their decision making process when faced with the multitude of options offered by implant manufactures.

Comparison(s): 5.5mm stainless steel spinal rod versus 6.35mm stainless steel spinal rod for correction of juvenile and idiopathic scoliosis curves.

Study Type

Interventional

Enrollment (Actual)

300

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Los Angeles, California, United States, 90020
        • Shriners Hospitals for Children - Los Angeles

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

11 years to 18 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Diagnosis of Juvenile or Adolescent Idiopathic Scoliosis
  • Anticipated spinal fusion surgery

Exclusion Criteria:

  • Individuals younger than 11 years and older than 18 years
  • Individuals with scoliosis carrying additional diagnoses of illness.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 1
Subjects in this arm will receive the 5.5mm stainless steel instrumentation rod.
Posterior spinal fusion using a 5.5 or 6.35 size rod
Active Comparator: 2
Subjects in this arm will receive a 6.35mm stainless steel instrumentation rod.
Posterior spinal fusion using a 5.5 or 6.35 size rod

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Radiographic measurements of curve angles and balance.
Time Frame: Pre-operatively, 6 wks post-op, 1 & 2 year post-op.
Pre-operatively, 6 wks post-op, 1 & 2 year post-op.

Secondary Outcome Measures

Outcome Measure
Time Frame
Scoliosis Research Society-30 (SRS-30) questionnaire
Time Frame: Pre-operatively, 6 wks post-op, 1 & 2 year post-op.
Pre-operatively, 6 wks post-op, 1 & 2 year post-op.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Norman Otsuka, MD, Shriners Hospitals for Children - Los Angeles
  • Principal Investigator: Richard Bowen, MD, Shriners Hospitals for Children - Los Angeles

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2007

Primary Completion (Actual)

January 1, 2011

Study Completion (Actual)

January 1, 2011

Study Registration Dates

First Submitted

July 31, 2007

First Submitted That Met QC Criteria

August 1, 2007

First Posted (Estimate)

August 2, 2007

Study Record Updates

Last Update Posted (Estimate)

January 16, 2013

Last Update Submitted That Met QC Criteria

January 15, 2013

Last Verified

January 1, 2013

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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