Degenerative Cervical Myelopathy
Conditions
Keywords
degenerative cervical myelopathy, myelopathy, cervical myelopathy, degenerative myelopathy, vagus nerve, vagus nerve stimulation, ear stimulation
Brief summary
The objective of this study is to generate preliminary data to establish the feasibility and effectiveness of transauricular vagus nerve stimulation (taVNS) to improve post-operative outcomes of moderate to severe degenerative cervical myelopathy (DCM)
Interventions
Vagus nerve stimulation - clip is attached to ear
Clip will be attached to the ear, but no stimulation will be given.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age or older * Moderate or severe degenerative cervical myelopathy according to the mJOA * Decompression surgery planned
Exclusion criteria
* • Pregnancy * Electrically active implants (e.g. pacemaker) * Known diagnosis of amyotrophic lateral sclerosis, multiple sclerosis, rheumatoid arthritis, concomitant thoracic and/or lumbar stenosis, spine tumor, HIV-related myelopathy * Ongoing cancer therapy * Ongoing use of immunomodulating or suppressive medication * Sustained bradycardia with a heartrate \<50 beats per minute for \> 5 minutes following admission. * Prior cervical spine surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mJOA - Modified Japanese Orthopedics Association | through study completion, an average of 1 year | Measures neurological impairment in degenerative cervical myelopathy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index (NDI) | through study completion, an average of 1 year | NDI measures activity limitations associated with neck pain |
Countries
United States
Contacts
Washington University School of Medicine