Priority-Matching Correction Technique in Degenerative Lumbar Scoliosis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Priority-matching correction technique in DLS, Traditional correction technique in DLS.
- Who it may be relevant to
- Registry conditions: Degenerative Lumbar Disease, Scoliosis, Degenerative Scoliosis. Basic parameters: from 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Global Coronal Malalignment in Degenerative Lumbar Scoliosis and Priority-Matching Correction Technique to Prevent Postoperative Coronal Decompensation
Overview
Surgical outcomes, including radiographic outcomes, patient-reported outcomes, postoperative complications, and revision surgery rates, were compared in patients with degenerative lumbar scoliosis (DLS) who underwent correction surgery with reference to our priority-matching correction technique and the standard reported by Obeid and colleagues. Our findings may provide tangible guidance for surgical decision-making in DLS.
Interventions
- Procedure Priority-matching correction technique in DLS
For Type 1 global coronal malalignment (GCM), TL/L curve makes the primary contri- bution on C7PL shifting. First, inserting pedicle screws bilaterally. Second, aggressively decreasing the magnitude of TL/L curve. Third, moderately leveling L4 endplate to pull the fusion segments to the middle line with hand pressure on the convexity of TL/L curve. If the correctability of the key curve was limited, the correction of the minor curve would be con- vergent. For Type 2 GCM, LS curve makes the prim - Procedure Traditional correction technique in DLS
In concave coronal malalignment (CM), the correction of the main curve improves the CM, thus we can talk about convergent corrective objectives. The ability to correct the CM depends on the correctability of the main curve. The need of three-column osteotomies in order to obtain correction of CM depends on the location and flexibility of the main curve. The correction of convex CM depends on the correction of the lumbosacral curve. The correction strategy will depend on many factors including t
Primary outcome measures
- Scoliosis Research Society-22 [Time frame: One month, 3 months, 6 months, 1 year, and 2 years after surgery]
- Oswestry disability index [Time frame: One month, 3 months, 6 months, 1 year, and 2 years after surgery]
- Achievement of minimal clinically important difference [Time frame: Two years after surgery]
Eligibility criteria
Inclusion criteria
- A diagnosis of DLS based on radiography and previous medical record,
- Age \> 50 years
Exclusion criteria
- Leg length discrepancy,
- A history of spinal or pelvic surgery,
- A history of neuromuscular diseases, arthritis or tumor.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
China · 1 center
- Xuanwu Hospital Capital Medical University — Beijing
Identifiers
NCT: NCT06470165 · xuanwu_DLS