经肌间隙入路颈椎后路椎管扩大成形术的前瞻性队列研究

注册号:

Registration number:

ChiCTR2400080958 

最近更新日期:

Date of Last Refreshed on:

2024-02-19 15:31:51 

注册时间:

Date of Registration:

2024-02-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

经肌间隙入路颈椎后路椎管扩大成形术的前瞻性队列研究

Public title:

Prospective cohort study of posterior cervical laminoplasty with intramuscular approach

注册题目简写:

English Acronym:

研究课题的正式科学名称:

经肌间隙入路的颈椎单开门椎管扩大成型术的前瞻性多中心队列研究

Scientific title:

Posterior cervical single open-door laminoplasty with intramuscular approach: A multi-center prospective cohort study

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

夏天 

研究负责人:

夏天 

Applicant:

Tian Xia 

Study leader:

Tian Xia 

申请注册联系人电话:

Applicant telephone:

+86 185 0023 4316

研究负责人电话:

Study leader's
telephone:

+86 185 0023 4316

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

xiatianmd@bjmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

xiatianmd@bjmu.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市海淀区花园北路49号北京大学第三医院

研究负责人通讯地址:

北京市海淀区花园北路49号北京大学第三医院

Applicant address:

No.49 North Garden Rd, Haidian Dist, Beijing

Study leader's address:

No.49 North Garden Rd, Haidian Dist, Beijing

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

北京大学第三医院

Applicant's institution:

Peking University Third Hospital

研究负责人所在单位:

北京大学第三医院

Affiliation of the Leader:

Peking University Third Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

(2023)医伦审第(478-02)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

北京大学第三医院医学科学研究伦理委员会

Name of the ethic committee:

Peking University Third Hospital Medical Science Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2023-09-12 00:00:00

伦理委员会联系人:

洪雪

Contact Name of the ethic committee:

Xue Hong

伦理委员会联系地址:

北京市海淀区花园北路49号

Contact Address of the ethic committee:

No.49 North Garden Rd, Haidian Dist, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 8226 5573

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

北京大学第三医院

Primary sponsor:

Peking University Third Hospital

研究实施负责(组长)单位地址:

北京市海淀区花园北路49号北京大学第三医院

Primary sponsor's address:

No.49 North Garden Rd, Haidian Dist, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学第三医院

具体地址:

北京市海淀区花园北路49号北京大学第三医院

Institution
hospital:

Peking University Third Hospital

Address:

No.49 North Garden Rd, Haidian Dist, Beijing

经费或物资来源:

研究者自发

Source(s) of funding:

Researcher self-funding

研究疾病:

脊髓型颈椎病  

Target disease:

Cervical Spondylotic Myelopathy

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

通过对比经肌间隙入路颈椎后路单开门椎管扩大成形术及传统经后正中入路的单开门椎管扩大成形术的临床、影像学指标及患者评价结果,验证的有效性和安全性,  

Objectives of Study:

To validate the efficacy and safety of posterior cervical single open-door laminoplasty through intramuscular approach, compared to conventional mid-line approach, through clinical, radiological, and patient reported outcome measurement.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.合并骨折、脱位的颈椎外伤; 2.颈椎肿瘤; 3.颈椎感染; 4.既往曾接受颈椎手术患者; 5.伴严重颈痛患者(颈部VAS大于3分); 6.伴严重颈部后凸畸形患者(局部后凸角大于15度); 7.需联合前路手术患者; 8.伴严重合并症的患者; 9.病变累及寰枢椎的患者; 10.合并类风湿性关节炎或强直性脊柱炎的患者;

Exclusion criteria:

1. Cervical spine trauma with fractures and/or dislocations; 2. Tumor of cervical spine; 3. Infectious disease of cervical spine; 4. Previous surgery in cervical spine region; 5. With severe neck pain (neck visual analog scale >3); 6. With severe cervical spine kyphotic deformity (Cobb angle >15 degrees); 7. Receive combine approach surgery; 8. With uncontrollable comorbidities; 9. Disease involved upper cervical region; 10. Patients with rheumatoid arthritis or ankylosing spondylitis;

研究实施时间:

Study execute time:

From 2024-02-26 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-02-26 00:00:00 To 2026-12-31 00:00:00

干预措施:

Interventions:

组别:

肌间隙入路组

样本量:

400

Group:

Intramuscular approach group

Sample size:

干预措施:

经肌间隙入路的颈后路单开门椎管扩大成形术

干预措施代码:

Intervention:

Receive cervical single open-door laminoplasty through intramuscular approach

Intervention code:

组别:

对照组

样本量:

400

Group:

Control Group

Sample size:

干预措施:

经传统后正中入路颈后路单开门椎管扩大成形术

干预措施代码:

Intervention:

Receive cervical single open-door laminoplasty through conventional mid-line approach

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学第三医院 

单位级别:

三甲 

Institution
hospital:

Peking University Third Hospital

Level of the institution:

Teriary A

国家:

中国

省(直辖市):

陕西 

市(区县):

 

Country:

China

Province:

Shaanxi

City:

单位(医院):

空军军医大学西京医院 

单位级别:

三甲 

Institution
hospital:

Fourth Military Medical University Xijing Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属华山医院 

单位级别:

三甲 

Institution
hospital:

Fudan University Huashan Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

南昌大学第四附属医院 

单位级别:

三甲 

Institution
hospital:

The Fourth Affiliated Hospital of Nanchang University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

武汉市第三医院 

单位级别:

三甲 

Institution
hospital:

Wuhan Third Hospital - TONGREN Hospital of Wuhan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

深圳市龙华区人民医院 

单位级别:

三甲 

Institution
hospital:

The People's Hospital of Longhua, Shenzhen

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

九江学院附属医院 

单位级别:

三甲 

Institution
hospital:

Jiujiang University Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

云南大学附属医院 

单位级别:

三甲 

Institution
hospital:

Yunnan University Affiliated Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福建医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Fujian Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福州市第二医院 

单位级别:

三甲 

Institution
hospital:

Second Hospital of Fuzhou

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

南昌大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Nanchang University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

黑龙江 

市(区县):

 

Country:

China

Province:

Heilongjiang

City:

单位(医院):

牡丹江第一医院 

单位级别:

三甲 

Institution
hospital:

First Hospital of Mudanjiang

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海同济大学东方医院 

单位级别:

三甲 

Institution
hospital:

Shanghai East Hospital, Tongji University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

温州医科大学附属第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Wenzhou Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

武汉同济医院 

单位级别:

三甲 

Institution
hospital:

Tongji Hospital, Tongji Medical College of HUST

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院 

单位级别:

三甲 

Institution
hospital:

West China Hospital, Sichuan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

深圳市第二人民医院 

单位级别:

三甲 

Institution
hospital:

The Second People's Hospital of Shenzhen

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第十医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Tenth People's Hospital, Tenth People's Hospital of Tongji University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

陕西 

市(区县):

 

Country:

China

Province:

Shaanxi

City:

单位(医院):

西安国际医学中心医院 

单位级别:

三甲 

Institution
hospital:

Xi'an International Medical Center Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

新疆 

市(区县):

 

Country:

China

Province:

Xinjiang

City:

单位(医院):

新疆医科大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Xinjiang University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

改良日本骨科医师协会评分

指标类型:

主要指标

Outcome:

modified Japanese Orthopedic Association (mJOA)

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

视觉模拟评分

指标类型:

主要指标

Outcome:

Visual Analog Scale

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

颈部功能障碍评分

指标类型:

主要指标

Outcome:

Neck Disability Index

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

欧洲五维健康量表

指标类型:

主要指标

Outcome:

EQ-5D

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

巴氏量表

指标类型:

主要指标

Outcome:

Barthel Scale

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

C2-7前凸角

指标类型:

主要指标

Outcome:

C2-7 Cobb angle

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

颈椎矢状垂直轴

指标类型:

主要指标

Outcome:

Cervical Sagittal Vertical Axis

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

颈椎活动度

指标类型:

主要指标

Outcome:

Cervical Range of Motion

Type:

Primary indicator

测量时间点:

术前及术后3、6、12、24个月

测量方法:

Measure time point of outcome:

Pre-operative and 3,6,12,24 months post-operatively

Measure method:

指标中文名:

年龄

指标类型:

次要指标

Outcome:

Age

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

身高

指标类型:

次要指标

Outcome:

Height

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

体重

指标类型:

次要指标

Outcome:

Weight

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

既往史

指标类型:

次要指标

Outcome:

Past Medical History

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

合并症

指标类型:

次要指标

Outcome:

Comorbidity

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

用药史

指标类型:

次要指标

Outcome:

Medication

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

吸烟史

指标类型:

次要指标

Outcome:

Cigarette

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

饮酒史

指标类型:

主要指标

Outcome:

Alcohol

Type:

Primary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

侵占率

指标类型:

次要指标

Outcome:

Occupying Ratio

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Pre-operative

Measure method:

指标中文名:

手术节段

指标类型:

次要指标

Outcome:

Surgical Levels

Type:

Secondary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

Post-operative

Measure method:

指标中文名:

手术时间

指标类型:

次要指标

Outcome:

Duration

Type:

Secondary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

Post-operative

Measure method:

指标中文名:

出血量

指标类型:

次要指标

Outcome:

Estimated Blood Loss

Type:

Secondary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

Post-operative

Measure method:

指标中文名:

总引流量

指标类型:

次要指标

Outcome:

Total Drainage

Type:

Secondary indicator

测量时间点:

出院时

测量方法:

Measure time point of outcome:

At Discharge

Measure method:

指标中文名:

下地时间

指标类型:

次要指标

Outcome:

Time for Ambulation

Type:

Secondary indicator

测量时间点:

出院时

测量方法:

Measure time point of outcome:

At Discharge

Measure method:

指标中文名:

住院日

指标类型:

主要指标

Outcome:

Length of stay

Type:

Primary indicator

测量时间点:

出院时

测量方法:

Measure time point of outcome:

At Discharge

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据采集使用标准化病例记录表,并由各分中心专业人士完成,保证数据真实有效 数据管理采用REDCap数据库进行统一管理

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The data collection is performed using standardized case record forms, completed by professionals at each sub-center to ensure the authenticity and validity of the data. The data management is conducted through centralized administration using the REDCap database.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2024-02-19 15:31:46