Percutaneous Trans-facet Spine Fixation (Massoud-Goel)

Mahmoud Massoud

Status: Invitation-only

Conditions: Degenerative Cervical Disc Disease; Ligamentum Flavum Hypertrophy; Spinal Canal Stenosis; Degenerative Spine; Spine Instability; Degeneration of Lumbar Intervertebral Disc

Treatments: Procedure: Massoud-Goel Technique and Theory; Procedure: Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine

Study type: Interventional

Funder types: Other

Identifiers

NCT07001969

EGY-2025-PTFF-MGT-001

Details and patient eligibility

About

Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Full description

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.

Enrollment: 77 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

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.

Exclusion criteria

1. Cauda equine syndrome
2. Progressive motor weakness
3. Failed damage control method
4. Spondylolisthesis, Spondyolysis.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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77 participants in 1 patient group

Percutaneous Trans-Facet Fixation Using the Massoud-Goel Technique and Theory for Degenerative Spine

Experimental group

Description:

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.

Treatment:

Procedure: Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine

Procedure: Massoud-Goel Technique and Theory