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临床试验/NCT04062487
NCT04062487已完成不适用

A Clinical Application Study of Mixed Reality Technology Assisted Lumbar Pedicle Screws Implantation

Nanjing First Hospital, Nanjing Medical University1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2017年1月9日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
50
试验地点
1
主要终点
The Standard Of Gertzbein-Robbins

研究概览

简要总结

Prospective comparative study of Mixed Reality Technology(MR)assisted lumbar pedicle screws placement and traditional lumbar pedicle screws placement.

详细描述

In this study, the randomized controlled method was adopted to prospectively include the samples, and the differences in surgical procedures and efficacy were compared between the thoracolumbar pedicle screw implantation assisted by MR and the traditional thoracolumbar pedicle screw implantation, so as to provide a plan for clinicians to choose the surgical method.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
38 Years 至 53 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Course of disease≥6 months, all patients with lumbago back pain, radiation pain of lower limbs, lumbar disc herniation diagnosed with or without spinal stenosis.
  • The course of disease≥6 months, all patients had lumbar back pain, accompanied by or without intermittent claudication, and the diagnosis of lumbar spondylolisthesis was clear, but the vertebral isthmus was not broken.
  • The patient's symptoms were consistent with the imaging examination results, failed to respond to conservative treatment, and met the surgical indications.
  • The lesion segment is no more than 3 vertebral bodies.
  • Preoperative improvement of X-ray, CT, MRI examination.
  • Patients without active bleeding and female patients is not in menstrual period.

排除标准

  • Lumbar acute infection, lumbar tuberculosis, tumor and other diseases.
  • Patients with severe cardiopulmonary insufficiency, intolerance to surgery, diabetes and poor blood glucose control, combined with coagulation dysfunction and other contraindications.
  • Vertebral fracture patients.
  • Bone Mineral Density (BMD) examination: BMD was measured by dual-energy X- ray absorptiometry at the lumbar spine (L2 ~ L4) and femoral head, and BMD and T values were observed. Abnormal bone mass were excluded according T >- 1 SD

研究组 & 干预措施

Lumbar pedicle screws implantation of traditional procedure

Experimental

traditional method of lumbar pedicle screws implantation

干预措施: Mixed Reality technology (Device)

结局指标

主要结局

The Standard Of Gertzbein-Robbins

时间窗: 1 day

the standard of Gertzbein-Robbins :Ⅰ, self-contained complete within the pedicle nail; Ⅱ, self-contained nail through 2 mm below the cortex; Ⅲ, self-contained nail through 2 mm or greater, cortex \< 4 mm; Nail through 4 mm or higher cortex; Ⅳ, self-contained, \< 6 mm; Ⅴ, self-contained nail through 6 mm or higher cortex.

Visual Analog Scale

时间窗: 6 months

visual analog scale(0-10 scores) is for pain, 0 represent no pain, 10 score represent the severe pain.

Oswestry Disability Index

时间窗: 6 months

Oswestry Disability Index is for movement function, Questionnaire examines

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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