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Comparison of Ultrasonic Osteotome and Conventional Drill Osteotome (SONO)

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Seoul National University

Status

Completed

Conditions

Arthrodesis

Treatments

Device: drill
Device: ultrasonic osteotome

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Ultrasonic bone osteotome has been utilized in various surgical field, but the use in neurosurgery especially in spine surgery is not widely spread. In the present study, the investigators are going to compare bony fusion rate after cervical laminotomy either with ultrasonic osteotome or conventional drill.

Full description

Ultrasonic bone osteotome has been utilized in various surgical field, but the use in neurosurgery especially in spine surgery is not widely spread. The tissue selectivity of ultrasonic osteotomy may enhance operative time and reduce tissue trauma. Moreover, bony fusion rate may be increased because of low thermal injury to the bone. In the present study, we are going to compare bony fusion rate after cervical laminotomy either with ultrasonic osteotome or conventional drill.

Enrollment

190 patients

Sex

All

Ages

20 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. cervical myelopathy at 3 or more levels due to spondylosis, congenital stenosis, or OPLL;
  2. aged more than 20 years
  3. with American Society of Anesthesiology physical status class 1 or 2

Exclusion criteria

  1. concomitant neurological disease such as cerebral palsy or amyotrophic lateral sclerosis; 2) concurrent cancer or infection; 3) previous cervical spinal surgery; 4) a trauma-associated lesion; 5) inability to be followed up (i.e., foreign patients); 6) refusal to participate in the study

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

190 participants in 2 patient groups

Ultrasonic osteotome
Active Comparator group
Description:
making gutter on the hinge side of lamina with ultrasonic osteotome
Treatment:
Device: ultrasonic osteotome
Drill
Sham Comparator group
Description:
making gutter on the hinge side of lamina with conventional drill
Treatment:
Device: drill

Trial documents
1

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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