Head-neck Coordination Analysis After Minimally Invasive Surgery in the Dorsal Cervical Spine (MISDCS)

Schoen Klinik Hamburg Eilbek

Status: Unknown

Conditions: Multilevel Cervical Spinal Stenosis; Single Brachial Radiculopathy

Treatments: Procedure: Transmuscular approach for foraminotomy; Procedure: Subperiosteal approach for foraminotomy; Procedure: Bilateral approach for Laminoplasty; Procedure: Unilateral approach for laminoplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT01988259

MISDCS

Details and patient eligibility

About

To proof patients' benefit of minimally invasive surgery in the dorsal cervical spine an apparatus to examine head-neck-coordination was constructed.

Two different surgical techniques will be compared:

Laminoplasty: open approach vs minimally invasive surgery (MIS)-approach; Foraminotomy: open approach vs MIS-approach. Each patient will be tested before surgery, postoperative as well as 3 and 12 month follow-up.

Hypothesis is that patients after MIS-approaches perform better in their head-neck-coordination as patients with open approaches.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• radicular or myelopathic compression syndrome in the cervical spine

Exclusion criteria

• neurological diseases with influence on the neuromuscular function
• previous surgery on the cervical spine

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 4 patient groups

Bilateral approach for laminoplasty

Active Comparator group

Description:

Open approach for laminoplasty

Treatment:

Procedure: Bilateral approach for Laminoplasty

Unilateral approach for laminoplasty

Active Comparator group

Description:

Minimally invasive approach for laminoplasty

Treatment:

Procedure: Unilateral approach for laminoplasty

Subperiosteal approach for foraminotomy

Active Comparator group

Description:

Open approach for foraminotomy

Treatment:

Procedure: Subperiosteal approach for foraminotomy

Transmuscular approach for foraminotomy

Active Comparator group

Description:

Minimally invasive approach for foraminotomy

Treatment:

Procedure: Transmuscular approach for foraminotomy