Management of Early Onset Scoliosis by Active Apex Correction Technique
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: Active Apex correction of scoliotic deformity.
- Who it may be relevant to
- Registry conditions: Cases of Early Onset Scoliosis. Basic parameters: 1 year — 10 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
- Egypt
- 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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Overview
Early onset scoliosis is challenging cases in management .different techniques used to correct the deformity ranging between fusionlees and fusion surgery. Fusionless surgery permits developments of vertebral column and lung to avoid thoracic insufficiency syndrome. Fusion surgeries for complicated and high curves .New fusionless technique that I will use in my research is to modulate and guide the growth of the Apex of deformity through tethering the convex side and modulate the concave side and follow up the patients to see the results on their radiological and clinical parameters.
Interventions
- Procedure Active Apex correction of scoliotic deformity
Tethering the convex side of Apex and modulation of the concave side .proximal and distal anchoring screws. Dominos between rods to slide and permits the growth of the vertebral column
Primary outcome measures
- Change in major coronal Cobb angle [Time frame: Baseline to 12 months after Active Apex Correction (APC) surgery]
Secondary outcome measures (1)
- Change in thoracic spinal growth [Time frame: Baseline to 12 months]
Eligibility criteria
Inclusion criteria
- patients with early-onset scoliosis below 10 years
- patients not operated on before.
Exclusion criteria
- Patients above 10 years.
- Patients operated on before
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Al-Azhar University Hospital, Assiut — Asyut
Identifiers
NCT: NCT07727408 · MEOSAPCT