Laminectomy without or with dorsal Fusion for cervical myeloradiculopathy: a randomised trial

ISRCTN ISRCTN72800446
DOI https://doi.org/10.1186/ISRCTN72800446
Secondary identifying numbers 2007/01
Submission date
13/02/2007
Registration date
11/06/2007
Last edited
30/10/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Not provided at time of registration

Study website

Contact information

Dr Ronald Bartels
Scientific

Neurosurgical Centre Nijmegen
Radboud University Nijmegen
Nijmegen
6500 HB
Netherlands

Phone +31 (0)24 361 3447
Email r.bartels@nch.umcn.nl

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymLamiFuse
Study hypothesisPatients that are surgically treated for signs and symptoms due to a stenosis of the cervical spinal canal have a better clinical outcome when a dorsal fusion is performed in addition to a laminectomy compared to those that have solely a laminectomy.

At the end of the study, the quality of life, complications, and the costs will be evaluated comparing these two treatment groups.
Ethics approval(s)Approval received from the local ethics board (Commissie Mensgebonden Onderzoek Regio Arnhem-Nijmegen) on the 8th May 2007 (ref: CMO nr. 2007/052 and ABR nr: NL166633.091.07).
ConditionCervical myelopathy due to cervical spinal stenosis
InterventionLaminectomy versus laminectomy and fusion.
Intervention typeOther
Primary outcome measureClinical outcome measured by the modified version of the Japanese Orthopedics Association scale (mJOA) score. This will be measured at six weeks, three months and one year after surgery.
Secondary outcome measures1. Quality of life, measured using the 36-item Short Form health survey (SF-36)
2. Complications
3. Costs

These will be measured at six weeks, three months and one year after surgery.
Overall study start date09/01/2007
Overall study end date09/01/2010

Eligibility

Participant type(s)Patient
Age groupSenior
SexNot Specified
Target number of participants60
Participant inclusion criteria1. Patients with a minimal age of 60 years
2. At neurologic examination myelopathic changes must be apparent
3. At Magnetic Resonance Imaging (MRI), concordant stenotic alterations at the cervical level(s) must be present
4. At the plain sitting lateral radiograph a lordotic spine must be shown
5. The shape of the cervical spine is lordotic when the vertebral bodies of C3 to C6 are in front of a line drawn from a point of the posterior inferior part of C2 to a point at the posterior superior part of C7
Participant exclusion criteria1. Previous cervical surgery for myelopathic signs and symptoms
2. Solely radiculopathy, or most important complaint
3. Unable to undergo MRI
4. Life expectancy less than two years
5. Other diseases interfering with neurologic symptoms and signs, for example spinal cord glioma, thoracic herniated disc with spinal cord compression, multiple sclerosis etc.
6. Rheumatoid arthritis
7. Trauma to the neck in history
8. Diseases interfering with rehabilitation, for example severe cardiac congestive disease
9. Participation in another study
Recruitment start date09/01/2007
Recruitment end date09/01/2010

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Neurosurgical Centre Nijmegen
Nijmegen
6500 HB
Netherlands

Sponsor information

Radboud University Nijmegen (The Netherlands)
Hospital/treatment centre

Department of Neurosurgery
R. Postlaan 4
Nijmegen
6500 HB
Netherlands

Phone +31 (0)24 361 3477
Email r.bartels@nch.umcn.nl
Website http://www.nccn.nl
ROR logo "ROR" https://ror.org/05wg1m734

Funders

Funder type

Other

Insurances will be paid by the Neurosurgical Centre Nijmegen (The Netherlands). All other costs for the trial will be covered by the Principal Investigator. If financial sponsors are found, these costs will be settled.

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 09/11/2007 Yes No