The Collar Post Anterior Cervical Spine Surgery Study

Last updated: September 17, 2019
Sponsor: St. Michael's Hospital, Toronto
Overall Status: Active - Recruiting

Phase

N/A

Condition

Neck Pain

Spinal Cord Disorders

Radiculopathy

Treatment

N/A

Clinical Study ID

NCT03842072
C-PASS
  • Ages 18-80
  • All Genders

Study Summary

The Anterior Cervical Discectomy and Fusion (ACDF) represents one of the most commonly performed spinal operations internationally, often in the context of symptomatic radiculopathy or myelopathy secondary to cervical degenerative disease. Approximately half of surgeons continue to prescribe a period of post-operative bracing with a cervical collar. However, there is currently no high quality evidence available to support the routine use of post-operative bracing after ACDF; further, braces are expensive and have been associated with a variety of local complications. In summary, the current lack of evidence, and lack of consensus amongst surgeons, regarding best practices in the use of post-operative bracing after ACDF, places the surgeon and the patient in a precarious position.

Our randomized trial comparing the impact of 6 weeks of post-operative bracing with a rigid cervical collar vs. no post-operative bracing, on a variety of clinical and radiological outcomes, for adult patients with cervical radiculopathy and/or myelopathy undergoing single or multi-level ACDF.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. between the ages of 18 and 80;

  2. presenting with cervical radiculopathy and/or myelopathy to one of the study centers;

  3. deemed appropriate by the attending surgeon involved for a one, two or three levelplated ACDF or a one-level ACDF with a standalone interbody cage; and

  4. able to cooperate in the completion of all study consents, forms and documents. 5.Participants who are able to speak, read and write at an elementary school level

Exclusion

Exclusion Criteria:

  1. those with previous cervical surgery;

  2. those undergoing single or multi-level plated ACDF for a diagnosis related tomalignancy, infection or trauma;

  3. those undergoing a single or multi-level plated ACDF augmented with a posteriorcervical fusion or posterior cervical decompression and fusion;

  4. those undergoing a multi-level non-plated ACDF;

  5. those undergoing ACDF at greater than three levels, and;

  6. those with a pre-existent neurological or mental disorder which would precludeaccurate evaluation and follow-up.

Study Design

Total Participants: 244
Study Start date:
February 23, 2018
Estimated Completion Date:
July 01, 2021

Study Description

The Anterior Cervical Discectomy and Fusion (ACDF) represents one of the most commonly performed spinal operations internationally, often in the context of symptomatic radiculopathy or myelopathy secondary to cervical degenerative disease. Approximately half of surgeons continue to prescribe a period of post-operative bracing with a cervical collar. However, there is currently no high quality evidence available to support the routine use of post-operative bracing after ACDF; further, braces are expensive and have been associated with a variety of local complications. In summary, the current lack of evidence, and lack of consensus amongst surgeons, regarding best practices in the use of post-operative bracing after ACDF, places the surgeon and the patient in a precarious position.

Connect with a study center

  • St. Michael's Hospital

    Toronto, Ontario M5B 1W8
    Canada

    Active - Recruiting

  • Hôpital Général de Montréal Montreal General Hospital

    Montréal, Quebec H3G 1A4
    Canada

    Active - Recruiting

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