MedPath

Randomized trial of early versus delayed surgery for acute traumatic cervical spinal cord injury without bone injury in patients with cervical canal stenosis

Phase 2
Conditions
Acute traumatic cervical spinal cord injury without bone injury
Registration Number
JPRN-UMIN000006780
Lead Sponsor
The Univerisity of Tokyo
Brief Summary

The results of this trial suggest that among patients with cervical SCI, early surgical treatment produced similar motor regain at 1 year after injury as delayed surgical treatment but showed accelerated recovery within the first 6 months. These exploratory results suggest that early surgical treatment leads to faster neurological recovery.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
72
Inclusion Criteria

Not provided

Exclusion Criteria

1) Unstable medical status 2) Difficult to undergo surgery within 24 hours after admission 3) Impaired consciousness or mental disorder that precludes neurological examination 4) Difficult to obtain informed consent in Japanese

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Recovery of motor function at one year after injury 1) the change from baseline to 1 year in the ASIA motor score 2) rate of patients who regained the ability to walk without assistance 3) total score of the Spinal Cord Independence Measure (SCIM) at 1 year after injury
Secondary Outcome Measures
NameTimeMethod
Walking Index for Spinal Cord Injury(WISCI) II SF36 EQ-5D Neuropathic Pain Symptom Inventory
© Copyright 2025. All Rights Reserved by MedPath