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Is it better to stimulate inside the pedicle hole before putting the pedicle screw and then stimulating the screws?

Diagnostic accuracy of pedicle screw placement using triggered electromyographic thresholds from stimulation over the pedicle screw compared to the stimulation within the pedicle hole. - nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/10/075894
Enrollment
50
Registered
2024-10-25
Start date
Unknown
Completion date
Unknown
Last updated
2024-11-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M472- Other spondylosis with radiculopathy

Interventions

Intervention1: Pedicle hole stimulation: 0 – 30 mA
stepwise increase in current. tEMG is measured from the lower limb muscles is recorded. Total duration : 5 minutes Intervention2: Pedicle screw stimulation: 0 – 30 mA
stepwise increase in current. tEMG is measured from the lower limb muscles is recorded. Total duration: 5 minutes Finally, we measure the sensitivity and specificity of pedicel hole vs pedicle screw

Sponsors

Christian medical college Velloreranipet campus
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adults posted for Lumbar posterior instrumentation with pedicle screw constructs for various pathologies at our institution over a 2-year period. Pedicle screw instrumentation in L1 to S1 levels will be shortlisted. The first 50 patients will be included.

Exclusion criteria

Exclusion criteria: Dysmorphic pedicle features Pedicle screws other than T12 to S1

Design outcomes

Primary

MeasureTime frame
Additional method to affirm the proper placement of the pedicle screw inside the spine bone.Timepoint: 2-3 YEARS

Secondary

MeasureTime frame
EMG threshold values/sensitivity/specificity of pedicle hole stimulation & Pedicle screw stimulation.Timepoint: at baseline

Countries

India

Contacts

Public ContactDr Sajo thomas

Christian medical college Vellore-Ranipet campus

Krishnaprabhu@cmcvellore.ac.in9843791380

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026