- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02129374
Direct Repair Surgery for Spondylolysis of Lumbar in Young Population
Lumbar spondylolysis is a relatively common condition that causes severe and perennial back pain in young populations. Conservative treatment of this condition may be futile, and may eventually require surgical treatment such as direct repair of pars defect and a segmental lumbar fusion with an anterior or posterior approach. Recently, of surgical treatment methods for spondylolysis, direct repair surgery of pars defect has been focused due to its inherited strengths. Most importantly, fusion surgery caused the affected segment to lose the nature range of motion and furthermore adjacent segment to be adversely affecting such as adjacent disc disease or degeneration, while direct repair theoretically could preserve the motion of the affected segment, which do not cause the adjacent segment problems as being the fusion surgery, as well as could produce better surgical outcomes with relatively less invasive technique as compared to fusion surgery. Moreover, previous articles have demonstrated that the direct repair surgery for spondylolysis of lumbar spine could achieve great functional and radiological outcomes. However, most of the previous studies was conducted using lower level designed study such as retrospective and small sample size, thereby prior literature does not provide clear information on the therapeutic outcome of direct repair for lumbar spondylolysis, especially for managing spondylolysis of young population.
Therefore, The investigators aimed to evaluate and determine the outcomes of direct repair surgery for lumbar spondylolysis in young population. To our knowledge, this is the first report that describes the functional and radiological outcomes of direct repair for spondylolysis in young populations with prospective cohort study design and relatively large sample size.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Gyounggido
-
Yangju, Gyounggido, Korea, Republic of
- Armed Forces Yangju Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- patients for whom conservative treatment for six months and three-times injection treatments had failed
- a follow-up period of one year or more after surgery
Exclusion Criteria:
- patients with abnormal muscle activity or ambulation such as parkinsonism and neuromuscular disease.
- patient inability to accurately record results of preoperative and postoperative questionnaires due to problems such as a history of stroke, dementia, or major medical illness that required intensive treatment
- patient follow-up was limited to one year or less
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Direct repair of pars defect
The pars defect was repaired with 4.5mm cortical screw.
|
Direct repair at pars defect was performed with 4.5mm cortical screw in young spondylolytic patients.
Other Names:
|
NO_INTERVENTION: Conservative treatment
The pars defect of spondylolysis was not repaired with cortical screw.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Union rate using dynamic radiographs and CT scans
Time Frame: Postoperative 1 year
|
union rate at postoperative 1 year was evaluated using dynamic radiographs and computed tomography (CT) scans.
|
Postoperative 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain intensity on VAS
Time Frame: postoperative 3 months
|
Pain intensity on lower back was evaluated with 10-point visual analogue scale (VAS) at the postoperative 6 months.
|
postoperative 3 months
|
Pain intensity on VAS
Time Frame: postoperative 6 months
|
Pain intensity on lower back was evaluated with 10-point visual analogue scale (VAS) at the postoperative 6 months.
|
postoperative 6 months
|
Pain intensity on VAS
Time Frame: postoperative 12 months
|
Pain intensity on lower back was evaluated with 10-point visual analogue scale (VAS) at the postoperative 6 months.
|
postoperative 12 months
|
Functional outcome on ODI and SF-12
Time Frame: Postoperative 3 months
|
Functional outcome using oswestry disability index (ODI) and 12-item short form health survey (SF-12) was evaluated separately at the postoperative 3 months.
|
Postoperative 3 months
|
Functional outcome on ODI and SF-12
Time Frame: Postoperative 6 months
|
Functional outcome using oswestry disability index (ODI) and 12-item short form health survey (SF-12) was evaluated separately at the postoperative 3 months.
|
Postoperative 6 months
|
Functional outcome on ODI and SF-12
Time Frame: Postoperative 12 months
|
Functional outcome using oswestry disability index (ODI) and 12-item short form health survey (SF-12) was evaluated separately at the postoperative 3 months.
|
Postoperative 12 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DR-001
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.
Clinical Trials on Spondylolysis
-
Medacta International SARecruitingDegenerative Disc Disease | Osteochondrosis | Spondylolysis LumbarSwitzerland
-
Assiut UniversityNot yet recruiting
-
Sarah Network of Rehabilitation HospitalsUniversity of BrasiliaUnknownSpondylolisthesis | Spondylolysis | Spine; Arthrosis | Spondylolysis, Multiple Sites in SpineBrazil
-
Novadip BiosciencesCompletedSpondylolisthesisCzechia, Poland, Belgium
-
Dartmouth-Hitchcock Medical CenterCompletedSpondylolisthesisUnited States
-
Zimmer BiometTerminatedSpondylolisthesisUnited States
-
Seoul National University HospitalCompleted
-
Megan Donaldson PT, PhD, FAAOMPTAkron Children's HospitalCompletedChildren | Spondylolisthesis | SpondylolysisUnited States
-
Rijnstate HospitalRecruiting
-
University of British ColumbiaNot yet recruitingIsthmic Spondylolisthesis
Clinical Trials on Direct repair of pars defect
-
Geisinger ClinicCompleted
-
HealthPlus Fertility CenterRecruitingCesarean Section; Dehiscence | Reproductive Issues | Intrauterine DisorderUnited Arab Emirates
-
University of Kansas Medical CenterRecruiting
-
Coloplast A/SCompletedPelvic Organ ProlapseUnited States, France, Belgium, Netherlands, Australia, Canada
-
University of Campania "Luigi Vanvitelli"CompletedIncisional Hernia
-
Chinese University of Hong KongRecruiting
-
Sheba Medical CenterUnknownInfertility | Complications; Cesarean SectionIsrael
-
University Hospital, GhentActive, not recruiting
-
University Magna GraeciaTerminatedStress Urinary Incontinence | CystoceleItaly
-
University College, LondonSociety for Cardiothoracic Surgery in Great Britain & Ireland; British Congenital...Unknown