Degeneration of Lumbar Intervertebral Disc, Degenerative Cervical Disc Disease, Degenerative Spine, Ligamentum Flavum Hypertrophy, Spinal Canal Stenosis, Spine Instability
Conditions
Keywords
Percutaneous, Trans-facet, Fixation, Massoud-Goel, Technique and Theory for Treatment of Degenerative Spine
Brief summary
Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine
Detailed description
Massoud-Goel' as rationale treatment for treatment spinal degeneration affected spinal segments using trans-articular screws, without physically distracting the facets, or removal of any part of the bone or ligament. Following fixing of the segment, all the secondary phenomenon reverse, effectively increasing the canal size and reversing the effects of spinal degeneration and spinal canal stenosis. Stabilizes the region and provides an environment for resorption of the herniated disc and ultimate arthrodesis of the spinal segments.
Interventions
PROCEDUREMassoud-Goel Technique and Theory
Percutaneous Trans-facet Fixation Massoud-Goel Technique and Theory for Treatment of Degenerative Spine
PROCEDUREPercutaneous Trans-facet Fixation for Treatment of Degenerative Spine
Percutaneous Trans-facet Fixation (Developmental of Dr Atul goel technique of transfacet fixation by open surgery using Magrel technique) Massoud-Goel Technique and Theory for Treatment of Degenerative Spine
Sponsors
Cairo University
Military Academy for Medical Sciences
Mahmoud Massoud
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
For Lumbar Sub-axial cervical instability Clinical radicular symptoms can indicate the level of spinal instability. The presence of osteophytes. Reduction of the intervertebral disc space. Disc prolapse. Ligamentum flavum buckling. For atlantoaxial instability Cervical myelopathy clinical Alteration of atlantodental interval on dynamic flexion-extension images.
Exclusion criteria
1. Cauda equine syndrome 2. Progressive motor weakness 3. Failed damage control method 4. Spondylolisthesis, Spondyolysis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain relief | 3 months | Relief of pain from neuralgia (sciatica & brachialgia) also claudication pain assessment by visual analogue scale 1-10 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional recovery | 3 months | functional improvement postoperatively. Secondary outcomes include functional recovery (Oswestry Disability Index score) |
| Less complications | 1 year | fusion rates (CT scan), and complication rates, assessing both efficacy and safety. Additional measures like hospital stay duration and patient satisfaction provide insights into procedural efficiency and patient-reported outcomes. |
| Spinal stability | 6 months | By CT spine we can assess facet fusion, stabilization of spine segmental instability |
| Neurological decompression indirectly | 6 months | Early by position of patients intraoperative and stabilization, late by healing of pathological state of ligament flavum hypertrophic changes, disc degeneration, spinal canal stenosis by Magnetic resonance imaging follow-up |
Countries
Egypt
Outcome results
None listed