DELAYED VERSUS EARLY SURGICAL DECOMPRESSION FOR TRAUMATIC SPINAL CORD INJURY

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-60
SponsorFauji Foundation Hospital

About this trial

To compare the outcome of early versus delayed surgical decompression among patients presenting with traumatic spinal cord injury in a tertiary care hospital.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients presenting with spinal cord injury (both cervical and thoracic) as per described in the operational definition

Age from 18-60 years

Both male and female patients

Disqualifiers

Patients with penetrating spinal injuries such as gunshot/stab wounds

Patients with pre-existing neurological conditions like myelopathy etc.

Patients with any kind of malignancy

Patients having CSF infection etc.

Trial population

• Patients presenting with spinal cord injury (both cervical and thoracic)

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

  • Early Surgical Decompression

    Procedure/Surgery

    it will be defined as the surgical decompression performed within 24 hours of injury. It will be performed among all the patients who presented within 24 hours of injury.

  • Delayed Surgical Decompression

    Procedure/Surgery

    It will be defined as the surgical decompression performed after 24 hours of spinal cord injury. It will be performed among all the patients who needed it due to medical optimization (such as hemodynamically unstable, shock, pulmonary contusions, cerebrovascular destabilization etc.) or those who will present after 24 hours of injury due to logistical delay.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

improvement in neurological impairment using ASIA Impairment Scale (AIS)

Treatment outcomes will be measured 12 weeks after early or delayed surgical decompression among all the patients who underwent spinal cord injury in terms of improvement in neurological impairment using ASIA Impairment Scale (AIS) attached as annexure-C. Outcome will be labelled as good if shows improvement for at least two AIS grades.

Time frame
12 Weeks after surgery

Secondary outcomes

Other outcomes

Sponsors and contacts

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