Study on the effect of anterior cervical screw placement position difference on the stability of internal fixation system

ISRCTN ISRCTN77678938
DOI https://doi.org/10.1186/ISRCTN77678938
Submission date
10/11/2022
Registration date
18/11/2022
Last edited
14/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Some scholars have conducted clinical experiments and biomechanical studies on the biomechanical differences between cross and parallel screw placement in anterior cervical discectomy and fusion surgery while treating cervical disc degeneration, and found that the uneven angle of screw placement did not affect the stability of the internal fixation system. However, the different screw placement angles on the stress transfer effect is not described in detail, the stress transfer effect determines the future system stability.

Who can participate?
Healthy adult male volunteers.

What does the study involve?
A CT scan of the spine in different positions.

What are the possible benefits and risks of participating?
None

Where is the study run from?
Shanxi Bethune Hospital (China)

When is the study starting and how long is it expected to run for?
August 2022 to October 2022

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Zejun Xing, 18735130965@163.com

Contact information

Dr Zejun Xing
Public

No.99 Longcheng Street
Taiyuan
030000
China

Phone +86 18735130965
Email 18735130965@163.com

Study information

Study designMachine learning case series
Primary study designObservational
Secondary study designCase series
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleStudy on the effect of anterior cervical screw placement position difference on the stability of internal fixation system
Study hypothesisSome scholars have conducted clinical experiments and biomechanical studies on the biomechanical differences between cross and parallel screw placement in anterior cervical discectomy and fusion surgery while treating cervical disc degeneration, and found that the uneven angle of screw placement did not affect the stability of the internal fixation system. However, the different screw placement angles on the stress transfer effect is not described in detail, the stress transfer effect determines the future system stability.
Ethics approval(s)Approved 08/11/2022, Medical Ethics Committee of Shanxi Bethune Hospital (No.99, Longcheng Street, Taiyuan, Shanxi Province, 030000, China; +86 351-8379145; dyyywc@163.com), ref:YXLL-2022-140
ConditionCervical disc degeneration
InterventionThe CT data of the lower cervical spine of volunteers were obtained by 128-row spiral CT scanner. The image data were imported into Mimics software in the format of Dicom to perform threshold division of the data, cavity filling and other operations to generate a complete three-dimensional model of the lower cervical spine including C1-C7 segments, and imported into Geomagic Studio 2016 software in stl format for further denoising, smoothing, and fitting surface processing of the model to form a solid model.
Intervention typeProcedure/Surgery
Primary outcome measureThe stress, displacement and stress transfer of the intervertebral disc with different screw placement angles were observed under left bending, upright and anteflexion conditions obtained by 128-row spiral CT scanner at a single time point.
Secondary outcome measuresThere are no secondary outcome measures.
Overall study start date01/08/2022
Overall study end date01/10/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexMale
Target number of participants1
Participant inclusion criteria1. Healthy male volunteers
2. No history of trauma surgery, osteoporosis, bone hyperplasia and other pathological conditions
3. Routine imaging examination to exclude cervical spondylosis disease history
4. Cervical activity in the normal range
Participant exclusion criteriaDoes not meet inclusion criteria
Recruitment start date01/08/2022
Recruitment end date01/08/2022

Locations

Countries of recruitment

  • China

Study participating centre

Shanxi Bethune Hospital
No.99 Longcheng Street
Taiyuan
030000
China

Sponsor information

Shanxi Bethune Hospital
Hospital/treatment centre

No.99, Longcheng Street
Taiyuan
030000
China

Phone +86 351-8379146
Email dyyywc@163.com

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/11/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Zejun Xing, 18735130965@163.com

Editorial Notes

14/11/2022: Trial's existence confirmed by Medical Ethics Committee of Shanxi Bethune Hospital.