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

N/AUnknownNCT01988259

Schoen Klinik Hamburg Eilbek100 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

100

Conditions

Multilevel Cervical Spinal Stenosis Single Brachial Radiculopathy

Interventions

Open bilateral approach for laminoplasty in multilevel cervical spinal stenosis

Unilateral approach for laminoplastyPROCEDURE

Unilateral minimally invasive approach for laminoplasty in multilevel cervical spinal stenosis.

Subperiosteal approach for foraminotomyPROCEDURE

Unilateral subperiostal approach for single level foraminotomy

Transmuscular approach for foraminotomyPROCEDURE

Unilateral transmuscular approach for single level foraminotomy

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Schoen Klinik Hamburg Eilbek

Hamburg, Hamburg, Germany

RECRUITING

Outcomes

Primary Outcomes

Performance of head-neck-coordination after surgery of the dorsal cervical spine

The primary outcomes of this study are the motor control performance measures assessed using force and position controlled tasks. In addition to motor control performance, secondary outcome measures of patient-oriented outcome measures (e.g. pain, disability, etc.) will be collected. Performance measures will consist of the following tasks: * Head-Neck Position Tracking - Rotation and Flexion/Extension * Head-Neck Force Tracking - Flexion, Extension and Lateral Bending Left/Right During the tracking task, a time-varying target (input signal) will be displayed. The participant will be asked to track the specified target by controlling his/her head-neck angle (position tracking) or moment (force tracking). The head position or force during these trials will represent the output signal for the motor control system. These signals will be collected and analyzed in the time and frequency domain to assess error in head-neck motor control.

Time frame: one year

Central Contacts

Ralph Kothe, MD

CONTACT

0049 40 2092 rkothe@Schoen-Kliniken.de

Alexander Gude, MD

CONTACT

0049 40 2092 agude@Schoen-Kliniken.de

Data from ClinicalTrials.gov

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