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CTRI Number  CTRI/2025/12/099846 [Registered on: 26/12/2025] Trial Registered Prospectively
Last Modified On: 25/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Retrospective 
Study Design  Other 
Public Title of Study   Effect of preserving normal neck attachments on movement and pain after spine surgery 
Scientific Title of Study   Evaluation of Clinical Outcomes of Preserving Versus Sacrificing C2 and C7 Spinous Process Attachments in Patients Undergoing Cervical Laminectomy: A Retrospective Observational Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bharat R Dave 
Designation  Principal Investigator and Spine Surgeon 
Affiliation  Stavya Spine Hospital And Research Institute 
Address  2nd floor , Research Department , Stavya Spine Hospital and Research institute , Near Nagri Hospital , Mithakhali , Ellisbridge , Ahmedabad - 380006
Stavya Spine hospital and Research Institute Ellisbridge Mithakhali
Ahmadabad
GUJARAT
380006
India 
Phone  09825019913  
Fax    
Email  brd_172@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bharat R Dave 
Designation  Principal Investigator and Spine Surgeon 
Affiliation  Stavya Spine Hospital And Research Institute 
Address  2nd floor , Research Department , Stavya Spine Hospital and Research institute , Near Nagri Hospital , Mithakhali , Ellisbridge , Ahmedabad - 380006
Stavya Spine hospital and Research Institute Ellisbridge Mithakhali

GUJARAT
380006
India 
Phone  09825019913  
Fax    
Email  brd_172@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bharat R Dave 
Designation  Principal Investigator and Spine Surgeon 
Affiliation  Stavya Spine Hospital And Research Institute 
Address  2nd floor , Research Department , Stavya Spine Hospital and Research institute , Near Nagri Hospital , Mithakhali , Ellisbridge , Ahmedabad - 380006
Stavya Spine hospital and Research Institute Ellisbridge Mithakhali

GUJARAT
380006
India 
Phone  09825019913  
Fax    
Email  brd_172@yahoo.com  
 
Source of Monetary or Material Support  
Stavya Spine Hospital and Research Institute,Near Nagri hospital,Mithakhali,Ellisbridge,Ahmedabad,380006. 
 
Primary Sponsor  
Name  Stavya Spine Hospital and Research Institute 
Address  2nd floor , Research Department , Stavya Spine Hospital and Research institute , Near Nagri Hospital , Mithakhali , Ellisbridge , Ahmedabad - 380006 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bharat R Dave  Stavya Spine Hospital & Research Institute  2nd floor , Research Department
Ahmadabad
GUJARAT 
09825019913

brd_172@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Stavya Spine hospital & Research Institute IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M480||Spinal stenosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  NIL.  NIL. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. More than or equal to 3 levels of cervical spinal stenosis and myelopathy
2. Preoperative modified Japanese Orthopedic Association (mJOA) scores of 8 – 14
3. Preoperative and postoperative imaging available (MRI, CT, or X-rays)
 
 
ExclusionCriteria 
Details  A documented history of prior cervical spine surgery
Presence of congenital anomalies
Inflammatory arthropathies
History of cervical trauma
History of histologically proven cervical spinal tumor
Patients with less than 6 months follow up post operatively
Patients with incomplete pre operative or post operative data
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. mJOA score for neurological outcome
2. NDI score for functional disability
3. VAS score for pain
4. Operative parameters which included intra operative blood loss, operative time and post op complications
 
Follow up visits at 3 months and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
NIL.  NIL. 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/01/2026 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This retrospective observational study will be conducted in Stavya Spine Hospital and Research Institute, Ahmedabad enrolling 100 consecutive patients diagnosed with multilevel cervical stenosis and myelopathy requiring C3-C6 or C3-C7 laminectomy. Patients will be randomly allocated into two equal groups: Group A and Group B. Group A (n=50) underwent modified muscle-preserving laminectomy with preservation of semispinalis cervicis and nuchal ligament attachments at C2 and C7 spinous processes, while Group B (n=50) underwent conventional laminectomy with complete detachment of posterior muscle complex from C2 and C7. The study will include patients of 40-75 years of age with multilevel cervical stenosis (Greater or equal to 3 levels), preoperative modified Japanese Orthopedic Association (mJOA) scores of 8-14, and minimum 6 month follow up. Patients with previous cervical surgery, congenital anomalies, inflammatory arthropathies, cervical trauma, malignancy and patients with incomplete clinical and radiological records will be excluded from the study.  
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