Massoud-Goel Technique and Theory: Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 77
- 试验地点
- 1
- 主要终点
- Pain relief
研究概览
简要总结
Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine
详细描述
Massoud-Goel' as rationale treatment for treatment spinal degeneration affected spinal segments using trans-articular screws, without physically distracting the facets, or removal of any part of the bone or ligament.
Following fixing of the segment, all the secondary phenomenon reverse, effectively increasing the canal size and reversing the effects of spinal degeneration and spinal canal stenosis.
Stabilizes the region and provides an environment for resorption of the herniated disc and ultimate arthrodesis of the spinal segments.
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
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •For Lumbar Sub-axial cervical instability Clinical radicular symptoms can indicate the level of spinal instability. The presence of osteophytes. Reduction of the intervertebral disc space. Disc prolapse. Ligamentum flavum buckling. For atlantoaxial instability Cervical myelopathy clinical Alteration of atlantodental interval on dynamic flexion-extension images.
排除标准
- •Cauda equine syndrome
- •Progressive motor weakness
- •Failed damage control method
- •Spondylolisthesis, Spondyolysis.
研究组 & 干预措施
Percutaneous Trans-Facet Fixation Using the Massoud-Goel Technique and Theory for Degenerative Spine
This study arm involves the use of Percutaneous Trans-Facet Fixation (PTFF) with the Massoud-Goel Technique and Theory (MGT) for the treatment of degenerative spine conditions, Looking for signs of instability. In this arm will undergo minimally invasive trans-facet screw fixation to provide spinal stability while preserving mobility and reducing soft tissue disruption.
The intervention includes:
- Preoperative Assessment: MRI and CT scans to evaluate facet joint degeneration and spinal instability.
- Surgical Technique: Percutaneous placement of facet screws under fluoroscopic guidance, following the principles of the Massoud-Goel Technique.
- Postoperative Care: Patients will follow a structured rehabilitation program, including pain management and physiotherapy, to assess functional recovery and long-term outcomes.
The study aims to evaluate radiological fusion rates, pain relief (VAS scores), functional improvement (ODI scores), and complication rates associations.
干预措施: Massoud-Goel Technique and Theory (Procedure)
Percutaneous Trans-Facet Fixation Using the Massoud-Goel Technique and Theory for Degenerative Spine
This study arm involves the use of Percutaneous Trans-Facet Fixation (PTFF) with the Massoud-Goel Technique and Theory (MGT) for the treatment of degenerative spine conditions, Looking for signs of instability. In this arm will undergo minimally invasive trans-facet screw fixation to provide spinal stability while preserving mobility and reducing soft tissue disruption.
The intervention includes:
- Preoperative Assessment: MRI and CT scans to evaluate facet joint degeneration and spinal instability.
- Surgical Technique: Percutaneous placement of facet screws under fluoroscopic guidance, following the principles of the Massoud-Goel Technique.
- Postoperative Care: Patients will follow a structured rehabilitation program, including pain management and physiotherapy, to assess functional recovery and long-term outcomes.
The study aims to evaluate radiological fusion rates, pain relief (VAS scores), functional improvement (ODI scores), and complication rates associations.
干预措施: Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine (Procedure)
结局指标
主要结局
Pain relief
时间窗: 3 months
Relief of pain from neuralgia (sciatica \& brachialgia) also claudication pain assessment by visual analogue scale 1-10
次要结局
- Spinal stability(6 months)
- Functional recovery(3 months)
- Less complications(1 year)
- Neurological decompression indirectly(6 months)
研究者
Mahmoud Massoud
Lecturer Orthopedic surgery department Orthopedic Surgery AFCM Cairo Egypt, Consultant spine surgery Helmya Military hospital, Spine unit.
Armed Forces College of Medicine, Cairo, Egypt