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CTRI Number  CTRI/2025/12/099018 [Registered on: 12/12/2025] Trial Registered Prospectively
Last Modified On: 12/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Other 
Public Title of Study   How Quickly Patients Begin Moving After Major Spine Surgery: A Patient-Focused Study 
Scientific Title of Study   Extubation-to-Mobilisation Interval in Major Spine Surgery: A Prospective 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 Shivanand Mayi 
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,Gujarat,India.
Stavya Spine hospital and Research Institute Ellisbridge Mithakhali
Ahmadabad
GUJARAT
380006
India 
Phone  09825019913  
Fax    
Email  drshivanandmayi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shivanand Mayi 
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,Gujarat,India.
Stavya Spine hospital and Research Institute Ellisbridge Mithakhali

GUJARAT
380006
India 
Phone  09825019913  
Fax    
Email  drshivanandmayi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shivanand Mayi 
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,Gujarat,India.
Stavya Spine hospital and Research Institute Ellisbridge Mithakhali

GUJARAT
380006
India 
Phone  09825019913  
Fax    
Email  drshivanandmayi@gmail.com  
 
Source of Monetary or Material Support  
NIL. 
 
Primary Sponsor  
Name  Stavya Spine Hospital and Research Institute 
Address  2nd floor, Research Department ,Stavya Spine hospital and Research Institute, Ellisbridge ,Mithakhali,Ahmadabad,GUJARAT,380006,India  
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 Shivanand Mayi  Stavya Spine Hospital & Research Institute  2nd floor , Research Department , Stavya Spine Hospital and Research institute , Near Nagri Hospital , Mithakhali , Ellisbridge , Ahmedabad - 380006,GUJARAT, India
Ahmadabad
GUJARAT 
94497822029

drshivanandmayi@gmail.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: M47||Spondylosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  NIL.  NIL. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Adults undergoing planned major spine surgery (multi-level fusion, instrumentation, complex decompression)
2. Ability to walk preoperatively
 
 
ExclusionCriteria 
Details  1. Preexisting immobility or severe neurological deficits
2. Acute infection, malignancy, or trauma cases
3. Severe comorbidities (cardiac or respiratory) that preclude safe mobilisation
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Interval (hours) from extubation to first mobilisation (out-of-bed ambulation).
2. Rate of successful early mobilisation (able to mobilize within 24 hours post-extubation).
3. Functional status at discharge (ODI score)
4. Postoperative pain scores (e.g., visual analogue scale).
 
Pre Operative visit,Post Operative visit and Day 1 visit is required. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL.  NIL. 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   26/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 prospective observational study aims to evaluate the interval between extubation and first mobilisation in adult patients undergoing major spine surgery, including laminectomy, discectomy, and spinal fusion. Early mobilisation is an important part of enhanced recovery after spine surgery, yet limited evidence exists on how the time from extubation to mobilisation influences postoperative outcomes. The study will assess mobilisation timing and its association with pain scores, functional recovery, complications, and length of hospital stay.

Preoperative data will include patient demographics, baseline Oswestry Disability Index (ODI), VAS pain scores, comorbidities, and surgical indications. Intraoperative data will include procedure type, operative duration, blood loss, levels operated, anesthesia details, and intraoperative complications. Postoperative data will capture exact mobilisation timing, serial VAS scores, analgesic use, ODI at discharge, hospital stay duration, and postoperative complications including infection, DVT, neurological deficits, reoperation, or readmission.

Findings from this study may help strengthen perioperative management and early rehabilitation protocols for major spine surgery.

 
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