- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00696501
Direct Stimulation Of Spinal Nerve Roots To Determine Sensory And Motor Innervation Patterns
August 22, 2017 updated by: Lahey Clinic
The purpose of this study is to collect data while monitoring muscles and nerves during spine surgery.
The data being collected and analyzed will be used to learn more about how the body's nerves and muscles are distributed and develop a map of human muscle innervation patterns.
Study Overview
Status
Terminated
Conditions
Detailed Description
In this large scale study it is proposed to examine root-to-muscle innervation directly, using the standard Intra-Operative Monitoring procedures during scheduled cervical and lumbar spinal surgeries.
The study would directly map muscle and sensory distributions of nerve root innervations with no additional risk to patients.
Study Type
Observational
Enrollment (Actual)
203
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
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Massachusetts
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Burlington, Massachusetts, United States, 01805
- Neurosurgery Department, Lahey Clinic, Inc.
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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
18 years to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
All neurosurgical patients will be screened for potential eligibility from the Neurosurgery Department's Clinical and operative schedules.
Description
Inclusion Criteria:
- Patients undergoing either cervical or lumbar cord procedures at Lahey Clinic and during which the surgeon has requested intra-operative neurophysiologic monitoring.
- Surgery performed by a neurosurgeon
- Participant must be ≥ 18 years of age or ≤ 85 years of age
- Participant, or legally authorized representative, has been informed of the nature of the study and has provided written informed consent, approved by the Lahey Clinic IRB
Exclusion Criteria:
Past medical history significant for any of the following:
- Peripheral Neuropathy
- Patients with Diabetes Mellitus
- Neuromuscular disease that would interfere with intra-operative recordings
- The Investigator determines that the patient should not be included in the study for reason(s) not already specified
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Build a database of spinal nerve root innervation utilizing direct nerve root stimulation
Time Frame: Data collected during surgery and a 30 day post-op visit
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Data collected during surgery and a 30 day post-op visit
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Compare clinical symptoms of the patient to the direct muscle activation via spinal nerve root stimulation
Time Frame: Data collected during surgery and a 30 day post-op visit
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Data collected during surgery and a 30 day post-op visit
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Subu N. Magge, M.D., Lahey Clinic, Inc.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Moller AR. Intraoperative neurophysiologic monitoring. Am J Otol. 1995 Jan;16(1):115-7. No abstract available.
- MacDonald DB. Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. J Clin Neurophysiol. 2002 Oct;19(5):416-29. doi: 10.1097/00004691-200210000-00005.
- Dykes RW, Terzis JK. Spinal nerve distributions in the upper limb: the organization of the dermatome and afferent myotome. Philos Trans R Soc Lond B Biol Sci. 1981 Aug 12;293(1070):509-54. doi: 10.1098/rstb.1981.0083.
- Tsao BE, Levin KH, Bodner RA. Comparison of surgical and electrodiagnostic findings in single root lumbosacral radiculopathies. Muscle Nerve. 2003 Jan;27(1):60-4. doi: 10.1002/mus.10291.
- Levin KH, Maggiano HJ, Wilbourn AJ. Cervical radiculopathies: comparison of surgical and EMG localization of single-root lesions. Neurology. 1996 Apr;46(4):1022-5. doi: 10.1212/wnl.46.4.1022.
- Bose B, Sestokas AK, Schwartz DM. Neurophysiological monitoring of spinal cord function during instrumented anterior cervical fusion. Spine J. 2004 Mar-Apr;4(2):202-7. doi: 10.1016/j.spinee.2003.06.001.
- Deletis, V. (2002), Intraoperative Neurophysiology and Methodologies Used to Monitor the Functional Integrity of the Motor System
- Chiappa, K.H. (1997) Evoked Potentials in Clinical Medicine
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, 2006
Primary Completion (Actual)
December 1, 2016
Study Completion (Actual)
December 1, 2016
Study Registration Dates
First Submitted
June 10, 2008
First Submitted That Met QC Criteria
June 10, 2008
First Posted (Estimate)
June 12, 2008
Study Record Updates
Last Update Posted (Actual)
August 24, 2017
Last Update Submitted That Met QC Criteria
August 22, 2017
Last Verified
August 1, 2017
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2006-039
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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