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Comparing Two Neck Spine Operations in Patients with Spinal Cord Pressure:Is Nerve Monitoring Helpful?

A Randomized Controlled Trial Comparing Cervical Laminectomy with and without Intraoperative Neuromonitoring in Degenerative Cervical Myelopathy - IONM-DCM

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/04/107683
Enrollment
100
Registered
2026-04-07
Start date
Unknown
Completion date
Unknown
Last updated
2026-04-27

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

Conditions

Health Condition 1: M471- Other spondylosis with myelopathy

Interventions

Intervention1: Cervical laminectomy with intraoperative neuromonitoring: Patients will undergo posterior cervical laminectomy performed using standard surgical techniques. Continuous intraoperative ne

Sponsors

Ganga Orthopaedics Research and Education Foundation
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients (morethan 18 years) Clinical diagnosis of degenerative cervical myelopathy Radiological evidence of cervical spinal cord compression on MRI Multilevel cervical stenosis (morethan 2 levels) requiring posterior decompression Preserved or neutral cervical sagittal alignment Planned for posterior cervical laminectomy Ability to provide written informed consent

Exclusion criteria

Exclusion criteria: Cervical kyphotic deformity requiring alternative surgical approach Indication for combined anterior and posterior surgery Prior cervical spine surgery Non-degenerative pathology (trauma, infection, tumor, inflammatory disease) Severe medical comorbidities precluding surgery Patients unwilling or unable to provide informed consent

Design outcomes

Primary

MeasureTime frame
Primary Outcome: Postoperative neurological deterioration (new weakness or worsening of preoperative status) Timepoint: Intraoperative: Neuromonitoring alerts, operative time, blood loss Within 48 hours: Neurological status At discharge: Neurological status 6 weeks: mJOA score 3 months: Neurological status and mJOA score—

Secondary

MeasureTime frame
Secondary Outcomes: Intraoperative neuromonitoring alerts (MEP/SEP) Neurological complications (transient or persistent) Functional outcome (mJOA score) Operative time Blood loss Correlation between IONM changes and neurological recoveryTimepoint: Intraoperative: Neuromonitoring alerts, operative time, blood loss Within 48 hours: Neurological status At discharge: Neurological status 6 weeks: mJOA score 3 months: Neurological status and mJOA score—

Countries

India

Contacts

Public ContactS Rajasekaran

Ganga Medical Centre and Hospital

rajasekaran.orth@gmail.com08668173135

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: May 1, 2026