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Recruiting Not applicable

Vertebropexy - Randomized-controlled Trial

NCT06024785 · tracked via the Priya Life Science Switzerland tracker
Phase
Not applicable
Started
2025-01-16
Last updated
2026-09-28

Condition(s) studied

DegenerationSpinal StenosisFusion of Spine

Investigational drug(s) / intervention(s)

Vertebropexy

Vertebropexy: microsurgical (i.e., the use of a microscope or magnifying glasses during decompression) lumbar laminotomy with partial removal of the medial facet joint by preserving the midline structures (supraspinous-interspinous ligament complex); approach: bilateral or ipsilateral with cross-over to the contralateral side. Additional stabilization of the spine with a ligament (for instance semitendinosus donor allograft), which connect the postoprior structures (Proc. Spinosus and/or Lamina) of the vertebrae . Situation-related application of laminar bands or analogous suture material (for instance FiberTape, Arthrex, Naples or Nile Band, K2M, Virginia)

Study summary

To assess the need for additional fusion surgery versus the risk of a revision surgery in patients with degenerative lumbar spinal disease and to assess efficacy and risk of the ligamentous fixation technique (vertebropexy)

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Age ≥ 18 years * Single-level or two-level lumbar surgery needed * Indication for decompression surgery in patients with spinal canal stenosis and additional stable degenerative listhesis (without facet joint effusion ≥ 2mm) * Indication for fusion surgery in patients with spinal canal stenosis and additional unstable degenerative listhesis (facet joint effusion ≥ 2mm), in patients with foraminal stenosis and additional degenerative listhesis, and in patients with segment degeneration of the disc * Understanding in German language Exclusion criteria: * Indication for decompression and/or fusion surgery in patients with solely disc herniation, fractures, lytic listhesis, tumor * Patients undergoing revision surgery for infection * Patients undergoing revision surgery on the same level if bony structures have been removed (e.g. prior laminectomy or midline decompression) * Patients undergoing revision surgery in case of prior fusion surgery * Inability to understand the study for linguistic or cognitive reasons * Anticipated clinical follow-up of less than 6 weeks after inclusion * Participation in other clinical trials

Primary outcome measure(s)

  • ODI (Oswestry Disability Index) — 2 years postoperative
    To assess and compare the clinical outcome of patients with spinal canal stenosis or foraminal stenosis +/- degenerative listhesis with either vertebropexy, decompression or fusion surgery

Trial sites (1)

FacilityCityRegionStatus
Balgrist University Hospital Zurich Canton of Zurich Recruiting

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06024785 on ClinicalTrials.gov ↗ ← All trials in Switzerland