Multicenter Retrospective Evaluation of the Surgical Management of Spinal Growth Dystrophy

NCT02904681 | Completed

• 1 other identifier: DRC
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Spinal growth dystrophy (CRD), also called Scheuermann's disease, corresponding to impaired vertebral structure occurring in children and adolescents with involvement of the growth cartilage causing impaired growth and kyphosis. There are forms thoracolumbar and thoracic conventional forms of DRC with variable clinical expressions; the most important being kyphosis with spinal stiffness associated with painful elements. The radiographic definition according Sorenson is uniformisation 5 ° affecting at least three adjacent vertebrae. Scheuermann's disease and three problems. First, the thoracic kyphosis generates back pain which may be thoracic or lumbar indirectly attributed to compensatory lordosis. Moreover disruption sagittal balance frequently causes a significant aesthetic discomfort. Finally, scalability because the curvature may increase the likelihood of degenerative lesions disc degeneration or lumbar spinal stenosis for example. When the disease is diagnosed early, treatment is most often associated with orthopedic physiotherapy. However, for patients with active deformation, despite an orthopedic brace treatment with chronic pain, neurological deficit or for aesthetic reasons, surgical decision can be taken. The goal of surgical treatment of DRC is a correction of the thoracic kyphosis. It goes through a spinal fusion must be released from his column stiffness in a bad position, changing the equilibrium profile and ensure that it remains in a good position. This surgery usually requires a prior operative time (thoracic surgery to remove the intervertebral discs) and a posterior surgical time (blockage of the vertebrae together with a bone graft and osteosynthesis). Currently different surgical strategies are practiced there is no real consensus between the teams.

Conditions

Acetabular Fractures; Hip Replacement

Outcome Measures

Primary Outcomes (1)

• Surgery complication type

  Statement from the database keops

  Day 30

Secondary Outcomes (3)

• Assessment od the clinical results based on surgical strategies

  Day 30

• Assessment of sagittal balance and correction Score obtained

  Day 30

• Assessment of correction Score obtained

  Day 30

Interventions

No intervention. Observational and descriptive study OTHER

Eligibility Criteria

• Age: 10 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients operated on for an arthrodesis Dystrophy Spinal Growth (DRC)

You may qualify if:

• patients operated on for an arthrodesis Dystrophy Spinal Growth (DRC)
• Age\> 10 years
• monitoring of minimum one year

You may not qualify if:

• deformation in the frontal plane
• kyphosis malformation
• osteoporotic or degenerative kyphosis
• post laminectomy kyphosis
• constitutional bone disease
• connective Tissue Disease
• myopathy

Sponsors & Collaborators

• Fondation Hôpital Saint-Joseph: lead

Study Sites (1)

Groupe Hospitalier Paris Saint Joseph

Paris, Île-de-France Region, 75014, France

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 31, 2016
• First Posted: September 19, 2016
• Study Start: December 1, 2014
• Primary Completion: January 30, 2015
• Study Completion: April 15, 2016
• Last Updated: September 6, 2017

Record last verified: 2017-09

Locations

FR (1)