Percutaneous Trans-facet Spine Fixation

N/AEnrolling By InvitationNCT07001969

Mahmoud Massoud77 enrolled

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

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

Interventions

Massoud-Goel Technique and TheoryPROCEDURE

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

Percutaneous Trans-facet Fixation for Treatment of Degenerative SpinePROCEDURE

Percutaneous Trans-facet Fixation (Developmental of Dr Atul goel technique of transfacet fixation by open surgery using Magrel technique) Massoud-Goel Technique and Theory for Treatment of Degenerative Spine

Eligibility

Sex: ALL

Medical Language ↔ Plain English

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.

Locations (1)

434

Cairo, Shorouk, Egypt

Outcomes

Primary Outcomes

Pain relief

Relief of pain from neuralgia (sciatica \& brachialgia) also claudication pain assessment by visual analogue scale 1-10

Time frame: 3 months

Secondary Outcomes

Functional recovery

functional improvement postoperatively. Secondary outcomes include functional recovery (Oswestry Disability Index score)

Time frame: 3 months

Less complications

fusion rates (CT scan), and complication rates, assessing both efficacy and safety. Additional measures like hospital stay duration and patient satisfaction provide insights into procedural efficiency and patient-reported outcomes.

Time frame: 1 year

Spinal stability

By CT spine we can assess facet fusion, stabilization of spine segmental instability

Time frame: 6 months

Neurological decompression indirectly

Early by position of patients intraoperative and stabilization, late by healing of pathological state of ligament flavum hypertrophic changes, disc degeneration, spinal canal stenosis by Magnetic resonance imaging follow-up

Time frame: 6 months

Data from ClinicalTrials.gov

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