Anterior Only Surgery for Management of Traumatic Subaxial Cervical Spine Instability
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Radiological analysis
研究概览
简要总结
Classic management of cervical spine sublaxation and dislocation is combined anterior and posterior approach. Unfortunately there are disadvantages for this approach like: increasing morbidity related to each approach, increasing surgical costs, increasing operative time as well as the risk of blood loss.
Anterior approach has the advantages of supine position, less surgical trauma and direct anterior decompression of neural elements. Disadvantages include less mechanical stability and postoperative dysphagia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Acute traumatic cases of adult patients with sub axial cervical spine injury presenting to trauma unit of Assiut university hospital
排除标准
- •Patients who need cervical corpectomy.
- •Pediatric injuries
研究组 & 干预措施
improved anterior approach only in traumatic cervical spine
干预措施: anterior approach only in cervical spine trauma (Procedure)
failed anterior approach only in traumatic cervical spine
干预措施: anterior approach only in cervical spine trauma (Procedure)
结局指标
主要结局
Radiological analysis
时间窗: 6 months
Fusion state by: Presence of crossing bone, mobility on motion films and CT scan
次要结局
未报告次要终点
研究者
arsany botros saleh
principal investigator
Assiut University