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Clinical Outcome After Anterior Cervical Decompression and Fusion and Cervical Total Disc Replacement

2015年7月14日 更新者:Dr. Yorck Rommelspacher、University Hospital, Bonn
The aim of this study is to examine the clinical outcome after anterior cervical decompression and fusion, and cervical disc prostheses in general. Additionally these two surgical methods for degenerative diseases of the cercival spine are analyzed comparatively in order to see whether one procedure should be preferred.

研究概览

详细说明

The study population consists of patients who are suffering from neck and cervicobrachial pain because of degenerative diseases of the cervical spine. In that population conservative treatment such as analgesia and physiotherapy is no more sufficient, so that surgery is necessary. For surgical treatment are chosen either total disc replacement with an cervical disc prostheses or anterior cervical decompression and fusion.

In the context of this work the clinical success of these surgical methods should be analasied by means of the neck disability index (NDI), the visual analogue scale (VAS) in centimeter, clinical examinations, the satisfaction of patients with the surgery and the occurrence of adverse events. The included patients are examined and seen before and after the surgery.

Furthermore the two different methods are compared to each other in order to detect a possible advantage of one type of surgery.

研究类型

观察性的

注册 (预期的)

80

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Patients of the University Hospital of Bonn who are suffering from neck and cervicobrachial pain that cannot be treated anymore by conservative methods and have to undergo surgery such as cervical fusion or cevical disc arthroplasty.

描述

Inclusion Criteria:

  • All patients who have to undergo surgery such as spondylodesis or disc prosthesis of the cervical spine because of degenerative diseases and who have been operated in the University Hospital of Bonn between 2011 and 2015.

Exclusion Criteria:

  • Patients under the age of 18 years
  • Pregnant women
  • Patients who are not willing to participate in the study
  • Patients unable to take part in the study because of any other known restriction or incompatibility

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

队列和干预

团体/队列
干预/治疗
Cervical Fusion
patients with anterior cerivical decompression and fusion
Cervical Fusion is performed with a titanium cage (Company Peter Brehm, Weisendorf, Germany) and a plating system (Company Aesculap, ABC plating system, Tuttlingen, Germany)
Cervical Disc Prostheses
patients with cervical total disc replacement
The total disc replacement is performed with eiter a Freedom® Cervical Disc, AxioMed Spine Corporation, Garfield Heights, Ohio, USA or Active® C, Company, Aesculap, Tuttlingen, Germany

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Change in pain as assessed by VAS
大体时间:Preoperative (baseline day 0), Follow up (24 months)
Pain objectified by the VAS
Preoperative (baseline day 0), Follow up (24 months)

次要结果测量

结果测量
措施说明
大体时间
Change in Neck disability Index
大体时间:Preoperative (baseline day 0), Follow up (24 months)
Restrictions in patients' daily life objecitfied by the NDI (neck disabiliy index)
Preoperative (baseline day 0), Follow up (24 months)

其他结果措施

结果测量
措施说明
大体时间
Adverse events/ postoperative complications
大体时间:postoperative until Follow up in 24 months
Adverse events as for example reoperation because of adjacent segment degeneration or implant loosening
postoperative until Follow up in 24 months
Change in pharmacological pain management, WHO Scale
大体时间:Preoperative (baseline day 0), Follow up (24 months)
Pain objectified by the analgesia scheme of the World Health Organisation
Preoperative (baseline day 0), Follow up (24 months)
Patient satisfaction with the surgical procedure
大体时间:Follow up (24 months)
Satisfaction of patients with the result of the operation assessed by grades 1-6
Follow up (24 months)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Yorck Rommelspacher, Dr. med、University Hospital, Bonn

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2011年1月1日

初级完成 (实际的)

2015年6月1日

研究完成 (预期的)

2015年8月1日

研究注册日期

首次提交

2015年5月2日

首先提交符合 QC 标准的

2015年7月14日

首次发布 (估计)

2015年7月15日

研究记录更新

最后更新发布 (估计)

2015年7月15日

上次提交的符合 QC 标准的更新

2015年7月14日

最后验证

2015年7月1日

更多信息

与本研究相关的术语

其他研究编号

  • UKBORTYC01

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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