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CTRI Number  CTRI/2021/04/032866 [Registered on: 16/04/2021] Trial Registered Prospectively
Last Modified On: 10/07/2023
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Other 
Public Title of Study   Study of new technique to insert pedicle screw in cervical spine using advanced technologies (O-arm and Navigation) in Indian subjects 
Scientific Title of Study   An Investigator Initiated study of Redefining the entry point in insertion of cervical pedicle screw using O arm and Navigation - A prospective radiological study in Indian subjects. 
Trial Acronym  CxPS 
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  Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad
Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad
Ahmadabad
GUJARAT
380006
India 
Phone  9825019913  
Fax  07926408174  
Email  brd_172@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Birju K Vyas 
Designation  Chief Physiotherapist  
Affiliation  Stavya Spine Hospital And Research Institute 
Address  Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad
Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad
Ahmadabad
GUJARAT
380006
India 
Phone  09925248584  
Fax  07926408174  
Email  birju_spine@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Birju K Vyas 
Designation  Chief Physiotherapist  
Affiliation  Stavya Spine Hospital And Research Institute 
Address  Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad
Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad

GUJARAT
380006
India 
Phone  09925248584  
Fax  07926408174  
Email  birju_spine@yahoo.com  
 
Source of Monetary or Material Support
Modification(s)  
India Medtronic Pvt. Ltd., 1261, Solitaire Corporate Park, Bldg. No. 12, 6th Floor, Andheri - Ghatkopar Link Road, Andheri (East), Mumbai - 400093, India 
 
Primary Sponsor  
Name  Stavya Spine Hospital and Research Institute 
Address  Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad 
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  Stavya Spine Hospital & Research Institute Annexe building 2nd floor, Near Nagri Hospital, Mithakhali, Ellisbridge Ahmedabad
Ahmadabad
GUJARAT 
9825019913
07926408174
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: M95-M95||Other disorders of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details 
1. All the patients operated for various cervical pathologies in sub axial level by pos- terior approach using cervical pedicle screws will be included in the study.
2. Age: 18 to 90 Years
3. Psychosocially, mentally and physically able to fully comply with this protocol in- cluding adhering to completing forms and other study procedures.
4. Personally, signed and dated informed consent document prior to any study-related procedures indicating that the patient has been informed of all pertinent aspects of the study.

 
 
ExclusionCriteria 
Details  1. Cervical anterior surgery.
2. Cervical laminectomy without fusion.
3. Lateral mass screw fixation.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Single time Evaluation To understand and redefine the entry point, also measure the accuracy of the pedicle screw placement in sub-axial cervical spine using intra-op navigation and O-arm.  24 Months 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the insertion angle, screw breach using postoperative multi-planar computerized tomography scans.
Radiation dosage and screw insertion time are looked for.

 
24 Months 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   19/04/2021 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

All the patients operated for various cervical pathologies in sub axial level will be included  in the study. Demographic details will be noted. General anesthesia with prone positioning. Cervical pedicle screws will be inserted at different levels from C3 to C6 with the help of intra-operative O-arm and navigation. Burr is used for making the entry into cervical pedicle under guidance of navigation at all the planned levels followed by screw insertion according to the dimensions calculated on screen. Screen shots during insertion on navigation screen will be recorded and final post-op CT scan will be studied. Anatomical entry point , accuracy of pedicle screws, angle of insertion, time taken for each screw, over all radiation, length of skin incision and breach rate will be recorded.

 
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