The CSM Trial: A Multicenter Study Comparing Ventral to Dorsal Surgery for Cervical Spondylotic Myelopathy
NCT00506558 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 103
Last updated 2012-08-29
Summary
The purpose of the study is to determine the optimal surgical approach (ventral versus dorsal) for patients with multi-level cervical spondylotic myelopathy (CSM). There are no established guidelines for the management of patients with CSM, which slowly causes spinal cord injury in afflicted patients.
This study aims to test the hypothesis that ventral surgery (decompressing the spinal cord from the front of the neck) and dorsal surgery (decompressing the spinal cord from the back of the neck) might differ in their overall outcome or major complication rate.
Conditions
- Cervical Spondylotic Myelopathy
Interventions
- PROCEDURE
-
Ventral Surgical Decompression with Instrumented Fusion
Multi-level discectomy or Corpectomy are performed at surgeon's discretion. After decompression an instrumented fusion is performed.
- PROCEDURE
-
Dorsal Decompression With or Without Fusion
Dorsal decompressive laminectomy, laminoplasty, or laminectomy with lateral mass instrumented fusion
Sponsors & Collaborators
-
Yale University
collaborator OTHER -
Greenwich Hospital
lead OTHER
Principal Investigators
-
Zoher Ghogawala, MD, FACS · Greenwich Hospital - Yale Universtiy School of Medicine
-
Edward C. Benzel, MD · The Cleveland Clinic
-
Robert Heary, MD · University of Medicine and Dentistry of New Jersey
-
Ronald Apfelbaum · University of Utah
-
Jean-Valery Coumans, MD · Massachusetts General Hospital
-
Subu N Magge, MD · Lahey Clinic
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-11-30
- Primary Completion
- 2012-05-31
- Completion
- 2012-05-31
Countries
- United States
Study Locations
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