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NCT Number: NCT05310578

Functioning in Individuals with Cervical Radiculopathy After Posterior Cervical Decompression

Compression on structures, as spinal nerves, in the cervical spine can cause cervical radiculopathy which leads to pain, disability, and reduced quality of life for the affected individual. Cervical foraminotomy with our without laminectomy are common posterior decompression surgical techniques for treating cervical radiculopathy. There is a lack of knowledge regarding function in patients with cervical radiculopathy after posterior cervical decompression.

The aim with this study is to study pain, function, psychosocial factors, and health related quality of life after posterior cervical decompression in patients with cervical radiculopathy.

This is a prospective multicenter longitudinal observational cohort study with follow-up at three, 12- and 24 months postoperative. A total of 154 individuals scheduled to undergo foraminotomy with our without laminectomy due to cervical radiculopathy will be included. Primary outcome is neck-specific function measured with the Neck Disability Index. Data will be collected preoperatively and at three, 12 and 24 months with electronic questionnaire.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Neuro-ortopediska kliniken, Jönköping, Sweden

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Cervical radiculopathy, confirmed by MRI images (or alternative neuroradiological imaging if MRI contraindicated) compatible with clinical findings of nerve root compression (neurological examination performed by a neurosurgeon/orthopedic surgeon)
  • Posterior cervical decompression as foraminotomy with our without laminectomy
  • At least 3 months of persistent arm pain
  • Age 18-75 years

Exclusion criteria

  • Nurick score 2 or more (to exclude individuals with moderate to high myelopathy)
  • Previous surgery of cervical spine
  • Previous fracture or dislocation of the cervical spine
  • Malignancy or benign spinal tumor (eg, neuromas)
  • Spinal infection
  • Previous spondylodiscitis
  • Servere mental disorder
  • Known alcohol or drug abuse
  • Lack of ability to write/comprehend/express oneself in Swedish

Treatment and study plan

Posterior cervical foraminotomy (with our without laminectomy)

Procedure

The aim of surgery is to decrease the compression of the affected nerve. In posterior cervical foraminotomy, the foramina is expanded to create more space and with posterior cervical laminectomy the lamina is removed to create space mainly for the spinal cord.

Primary outcomes

  1. Neck DisabiIity Index; 0-100% (0% = No disability)

    Time frame: Change from baseline to 24 months postoperatively

    To measure neck-specific disability

Secondary outcomes

  1. Numeric Rating Scale; 0-10 (0 = No pain/dizziness)

    Time frame: Change from baseline to 24 months postoperatively

    To measure pain intensity in neck, arm and head; Dizziness and unsteadiness

  2. Frequency of symptoms (5-grade scale from never to always)

    Time frame: Change from baseline to 24 months postoperatively

    To measure frequency of symptoms including neck pain, neck stiffness, headache, arm pain, impaired arm function, dizziness, sleeping problems, visual disturbances, hearing disturbances, difficulty swallowing and chewing, nausea, and problems concentrating.

  3. Specific questions regarding headache and dizziness

    Time frame: Change from baseline to 24 months postoperatively

    To find out more about specific symptoms such as headaches and dizziness

  4. Dizziness Handicap Inventory Scale; 0-100 (0 = no disability)

    Time frame: Change from baseline to 24 months postoperatively

    To measure self-perceived impact on daily life due to dizziness and/or unsteadiness

  5. Short Form Headache Impact test; 36-78 (36 = no impact)

    Time frame: Change from baseline to 24 months postoperatively

    To measure impact of headache in daily life

  6. Core outcome measure Index for neck; 0-10 (0 = good function)

    Time frame: Change from baseline to 24 months postoperatively

    To measure patient self-perceived outcome of spinal surgery

  7. Patient derived Modified Japanese Orthopeadic Association; 0-18 (18 = normal/no myelopathy).

    Time frame: Change from baseline to 24 months postoperatively

    To measure the impact of myelopathy

  8. Odom; 7-point scale (restored/much better to much worse)

    Time frame: Change from baseline to 24 months postoperatively

    To measure global perceived effect

  9. Global rating of change scale; 11 points scale (-5 - 5 where 5 indicates restored).

    Time frame: Change from baseline to 24 months postoperatively

    To measure self-perceived effect

  10. Fear Avoidance Beliefs Questionnaire; 0-96 (0 = no fear).

    Time frame: Change from baseline to 24 months postoperatively

    To measure patients' beliefs about how physical activity and work affect their neck pain

  11. Pain Catastrophizing Scale; 0-52 (0 = no catastrophizing)

    Time frame: Change from baseline to 24 months postoperatively

    To measure catastrophizing

  12. Self-Efficacy Scale; 0-200 (0 = low Self-Efficacy)

    Time frame: Change from baseline to 24 months postoperatively

    To measure confidence in one's own ability

  13. Hospital Anxiety and Depression Scale; 0- 42 (0 = indicates no depression and anxiety)

    Time frame: Change from baseline to 24 months postoperatively

    To measure depression and anxiety

  14. Question regarding expectations of surgery; 4 point scale (restored to no expectation to be restored)

    Time frame: Change from baseline to 24 months postoperatively

    To find out more about expectations of surgery

  15. Cherkin symptom satisfaction

    Time frame: Change from baseline to 24 months postoperatively

    To measure expectations met and satisfaction with care

  16. EuroQuol 5D-5L; 5-25 (5 = high health related quality of life)

    Time frame: Change from baseline to 24 months postoperatively

    To measure health-related quality of life

  17. EQ thermometer; 0-100 (0 = low health related quality of life)

    Time frame: Change from baseline to 24 months postoperatively

    To measure health-related quality of life

  18. Level of physical activity measured with a numeric rating; 1-4 (1 = inactivity - 4 high activity)

    Time frame: Change from baseline to 24 months postoperatively

    To find out more about level of physical activity

  19. International Physical Activity Questionnaire short version (categorize to low, moderate and high activity level)

    Time frame: Change from baseline to 24 months postoperatively

    To measure level of physical activity

  20. Work Ability Index (categorize to poor, moderate, good and excellent work ability)

    Time frame: Change from baseline to 24 months postoperatively

    To measure self-rated work ability

Study contacts

Contact information is provided by the study sponsor or research team.

Jard Svensson, MSc

CONTACT

[email protected]

+46101034026

Sponsors and collaborators

Lead sponsor

Linkoeping University

Other Gov

Registry information

Official study title

Functioning in Individuals with Cervical Radiculopathy After Posterior Cervical Decompression: a Prospective Multicenter Observational Study with a 2 Year Follow-up.

Important dates

Study start
2022
Primary completion
2025
Study completion
2025
First posted
Apr 5, 2022
Registry last updated
Nov 25, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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