Predictors of Outcome and Natural History in Patients With Cervical Spondylotic Myelopathy
1 other identifier
observational
350
1 country
1
Brief Summary
Cervical spondylotic myelopathy (CSM) is the most frequent cause of myelopathy in those over the age of 50. They claim that surgical treatment of myelopathy, especially of the mild and moderate forms, has not shown better results than conservative treatment in the long term, and criteria for the indication and the timing of the operation have not been established. In order to get some more reliable data, a long-term follow up observational study will be started to confirm the effects of long term for conservative treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2013
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 12, 2016
CompletedFirst Posted
Study publicly available on registry
October 18, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2020
CompletedOctober 18, 2016
October 1, 2016
6.2 years
October 12, 2016
October 14, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Japanese Orthopaedic Association scale
Japanese Orthopaedic Association scale assessed for 3 years
3 years
Secondary Outcomes (5)
Adverse Event
6 months, 1, 2, 3,4 and 5 years
Visual Analogue Scale
6 months, 1, 2, 3,4 and 5 years
the Medical Outcomes Study short form health survey-36
6 months, 1, 2, 3,4 and 5 years
Neck Disability Index
6 months, 1, 2, 3,4 and 5 years
Japanese Orthopaedic Association scale
6 months, 1, 2, 4 and 5 years
Interventions
We will not assign specific intervention in this research. We will record their baseline characteristics, received treatment, and assess the outcomes to analysis the predictors of outcome and natural history in patients with cervical spondylotic myelopathy.
Eligibility Criteria
Patients with cervical spondylosis myelopathy caused by spondylosis (including soft disc herniations) with or without developmentally narrow spinal canal
You may qualify if:
- Clinical signs and symptoms of cervical cord dysfunction
- Magnetic resonance imaging (MRI) criteria for cervical multisegmental cord compression and/or myelopathy due to spondylosis (including soft disc herniations) with or without developmentally narrow spinal canal
- Age under 75 years
- Patient's consent to conservative treatment It has been suggested that magnetic resonance imaging
You may not qualify if:
- Spinal cord compression, without clinical symptoms
- Previous surgery on the cervical spine
- Uncertainty about the presence of significant additional diseases (such as Motor neurone disease, progressive polyarthritis)
- Cervical cord dysfunction due to tumors, trauma, soft disc herniation or previous surgery
- Serious that require a surgical procedure
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Longhua Hospital, Shanghai University of Traditional Chinese Medicine
Shanghai, Shanghai Municipality, 200032, China
Related Publications (3)
Young WF. Cervical spondylotic myelopathy: a common cause of spinal cord dysfunction in older persons. Am Fam Physician. 2000 Sep 1;62(5):1064-70, 1073.
PMID: 10997531RESULTLaw MD Jr, Bernhardt M, White AA 3rd. Cervical spondylotic myelopathy: a review of surgical indications and decision making. Yale J Biol Med. 1993 May-Jun;66(3):165-77.
PMID: 8209553RESULTRowland LP. Surgical treatment of cervical spondylotic myelopathy: time for a controlled trial. Neurology. 1992 Jan;42(1):5-13. doi: 10.1212/wnl.42.1.5.
PMID: 1734322RESULT
Related Links
- Cervical spondylotic myelopathy: a common cause of spinal cord dysfunction in older persons
- Cervical spondylotic myelopathy: a review of surgical indications and decision making.
- Surgical treatment of cervical spondylotic myelopathy: time for a controlled trial
- Cervical spondylotic myelopathy: a review of surgical indications and decision making
Study Officials
- STUDY CHAIR
Wang Yongjun, PhD
Longhua Hospital, Shanghai Universiy of Traditional Chinese Medicine
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 12, 2016
First Posted
October 18, 2016
Study Start
October 1, 2013
Primary Completion
December 1, 2019
Study Completion
July 1, 2020
Last Updated
October 18, 2016
Record last verified: 2016-10
Data Sharing
- IPD Sharing
- Will share
individual participant data (IPD) available