Adjacent Segment Mechanics in Cervical Arthrodesis Patients
NCT03028402 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 106
Last updated 2025-02-06
Summary
This study aims to determine to what extent patient-specific factors, iatrogenic factors, and biomechanical factors influence cervical spine mechanics after single-level and two-level arthrodesis.
Conditions
- Intervertebral Disc Degeneration
Interventions
- PROCEDURE
-
C5-C6 arthrodesis
A standard Smith Robinson anterior medial approach to the cervical spine. Vertebral endplates will be prepared by removing the cartilage endplate. Tricortical anterior iliac crest autografts will be harvested with a low-speed oscillating saw. Allografts will be fresh-frozen, vacuum-sealed, nonradiated tricortical grafts. All grafts will be fashioned in a typical Smith-Robinson formation. The motion segment will be distracted approximately 2-mm beyond the graft height before the insertion of each graft. Fusion plate will be contoured to cervical lordosis. Cervical plates will be positioned using surgical midline markers. All rigid anterior plate fixations will be performed using titanium anterior fixed-angle screw systems.
Sponsors & Collaborators
-
University of Pittsburgh
lead OTHER
Principal Investigators
-
William Anderst, PhD · University of Pittsburgh
Eligibility
- Min Age
- 21 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-04-30
- Primary Completion
- 2024-12-30
- Completion
- 2024-12-30
Countries
- United States
Study Locations
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