Study to analyze long term result of neck spinal surgery at tertiary spine center in India

Completed

• Conditions: Acquired deformity of neck,

• Registration Number: CTRI/2022/09/045348
• Lead Sponsor: Stavya Spine Hospital and Research Institute

Brief Summary

Cervical spondylotic myelopathy (CSM) is the most commoncause of spinal cord dysfunction in older persons1. With ageing asthe degenerative changes in the cervical spine sets intervertebral discs,ligaments and connective tissue of the cervical vertebrae, can lead tocompression of the spinal cord, which results in myelopathy2. Thenatural history of CSM is mixed and unpredictable. Patients with CSM maypresent as a gradual decline in neurological function or in a progressivesetting with a long period of quiescence3. Surgical intervention hasbeen the mainstay for progressive CSM because conservative treatment had notbeen proved to be effective in altering the natural course of this disease4.The principal goal of surgical intervention is to achieve adequate expansion ofthe canal diameter, thus providing the cord with adequate space to avoid staticor dynamic compression. Anterior approaches for the surgical treatment of CSM,including anterior cervical discectomy and fusion (ACDF) and anterior cervicalcorpectomy and fusion (ACCF), have been widely over the years5. ACCFis an established treatment for cervical degenerative diseases, which offersseveral advantages, including direct decompression of neural structures, propervisualization of posterior osteophytes, ossified posterior longitudinalligament immediate stabilization of operated segments, solid fusion andmaintenance or restoration of normal cervical alignment6,7. Theshort term outcomes of  ACCF in CSM haveshown good outcome7.8, but relatively long term studies on ACCM fortreatment of CSM is scarce in literature.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-12-09
• Last Update Posted: 2023-10-07

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

patients who underwent anterior cervical corpectomy and fusion for degenerative cervical myelopathy at one or more levels of the cervical spine operated by one of five board certified spine surgeon at Stavya Spine Institute and Research Center since 2009 with minimum 2 years of follow up will be included in the study.

Exclusion Criteria

• •Patients in which enough data can’t be retrieved from the medical records in this du-ration.
• •Lost to follow up •Neoplasm, infection cervical spine •Previous cervical spine surgery •Neurodegenerative diseases.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Single time analysis of all the patient who underwent anterior cervical corpectomy and fusion for cervical myelopathy at our institute.	from 2009 at our institute with minimum follow up of 2 years.

Secondary Outcome Measures

Name	Time	Method
Statistical and accessory noninvasive information which will be collected as found additionally of importance.

Trial Locations

Locations (1)

Stavya Spine Hospital & Research Institute; 🇮🇳 Ahmadabad, GUJARAT, India

Stavya Spine Hospital & Research Institute

🇮🇳Ahmadabad, GUJARAT, India

Dr Bharat R Dave

Principal investigator

9825019913

brd_172@yahoo.com