Spine Surgery for Lenke 1 Adolescent Idiopathic Scoliosis
BS23
1 other identifier
interventional
20
1 country
1
Brief Summary
Idiopathic scoliosis of developmental age (AIS) is the most vertebral deformity in the adolescent population, with a prevalence of 1-3%. The treatment of AIS depends on the morphology and extent of the curve and the growth potential residual, can range from simple clinical-radiological monitoring, to the use of braces to, in the most severe cases, correction surgical correction. The indication for surgical correction of AIS depends on the location, extent and flexibility of the scoliotic curve and not least on the patient's age or, better, the skeletal age. The primary goal of surgery is to correcting the deformity by preventing its progression, preserving as many motion segments as possible; secondarily, the surgery aims to restore the coronal and sagittal balance of the spine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2024
Typical duration for not_applicable
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
First Submitted
Initial submission to the registry
April 29, 2024
CompletedFirst Posted
Study publicly available on registry
May 2, 2024
CompletedStudy Start
First participant enrolled
June 12, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 29, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
ExpectedDecember 30, 2025
December 1, 2025
1.3 years
April 29, 2024
December 23, 2025
Conditions
Outcome Measures
Primary Outcomes (6)
Spine Correction
The correction of the curvature of the back will be evaluated via x-ray
at baseline
Spine Correction
The correction of the curvature of the back will be evaluated via x-ray
at 12 months
Quality of Life 1
The "Scoliosis Research Society 22" is a multidimensional questionnaire covering the four non-management domains of pain, function, self-image, and mental health (5 items per domain), along with 2 items to assess the patient's satisfaction with management of their deformity
at baseline
Quality of Life 1
The "Scoliosis Research Society 22" is a multidimensional questionnaire covering the four non-management domains of pain, function, self-image, and mental health (5 items per domain), along with 2 items to assess the patient's satisfaction with management of their deformity
at 12 months
Quality of Life 2
The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from back pain.
at baseline
Quality of Life 2
The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from back pain.
at 12 months
Study Arms (1)
experimental
EXPERIMENTALsevere adolescent idiopathic scoliosis Lenke 1
Interventions
surgical correction of severe adolescent idiopathic scoliosis with screws and a single rod.
Eligibility Criteria
You may qualify if:
- Diagnosis of AIS;
- Male and female sex;
- Age between 12 and 21;
- Thoracic scoliotic curve, type I according to Lenke's classification;
- Preoperative radiographic range of the main scoliotic curve between 40° and 70° Cobb;
- Reducibility of the curve on bending radiographs by 30%;
- Signature of the informed consent of patients/parents to actively participate in the study and clinical follow-up.
You may not qualify if:
- Scoliosis with an etiology different from AIS;
- pre-operative COBB \> 70°;
- Patients already treated surgically for scoliosis;
- Location of the scoliotic curve: Lenke 2-6;
- Patients who do not fall within the parameters described;
- Patients unable to express consent or carry out follow-ups;
- Language barrier;
- Pregnant women.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istituto Ortopedico Rizzoli
Bologna, 40136, Italy
Related Publications (2)
Lenke LG. Lenke classification system of adolescent idiopathic scoliosis: treatment recommendations. Instr Course Lect. 2005;54:537-42.
PMID: 15948478RESULTRenshaw TS. The role of Harrington instrumentation and posterior spine fusion in the management of adolescent idiopathic scoliosis. Orthop Clin North Am. 1988 Apr;19(2):257-67.
PMID: 3282199RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 29, 2024
First Posted
May 2, 2024
Study Start
June 12, 2024
Primary Completion
September 29, 2025
Study Completion (Estimated)
September 1, 2026
Last Updated
December 30, 2025
Record last verified: 2025-12