Idiopathic Scoliosis New Onset and Melatonin Phase Delay in Children

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age6-15
SponsorSecond Affiliated Hospital of Wenzhou Medical University

About this trial

This study aimed to investigate the prevalence and clinical significance of melatonin phase delay in children with new onset and progressive idiopathic scoliosis (IS).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Collect saliva according to standards and complete melatonin testing

Complete scoliometer or X-ray assess scoliosis

Skeletally immature (Risser Sign 0-3)

Age between 6 and 15

Disqualifiers

None

Trial population

* Patients with scoliosis other than idiopathic, or with other musculoskeletal or neurodevelopmental conditions that might be responsible for the scoliosis * History of previous spine surgery or spinal injury * Tumor or malignant tumor in the spine and brain * Leg length discrepancy more than 20 mm * Fail to fulfill the questionnaire or refuse to attend any further evaluation * Plans to relocate within the next 24 months

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

956 Participants
are grouped into 2 trial groups
Group A: Melatonin phase delay
Group B: Melatonin phase nromal, controls

Trial outcomes

Primary outcomes

1

Scoliosis Curve Angle

A long standard standing whole spine radiograph will be used for measuring curve size in terms of Cobb angle according to the standard Cobb method

Time frame
Routine follow-up visits will be scheduled 6 months apart up to 36 months
2

Angle of Trunk Rotation

In addition to spinal X-rays, a Scoliometer can also help monitor curve progression. The Scoliometer is an inclinometer that measures the asymmetries between the sides of the trunk by measuring axial rotation in degrees. Numerous studies have found a high correlation between trunk axial rotation (ATR) values and the Cobb angles.

Time frame
Routine follow-up visits will be scheduled 6 months apart up to 36 months

Secondary outcomes

1

Circadian rhythm Measurements

circadian rhythm as assessed by Morning and Evening Questionnaire-5 (MEQ-5)

Time frame
Baseline
2

Body mass index

Changes in height, weight and body mass index

Time frame
Routine follow-up visits will be scheduled 6 months apart up to 36 months
3

Sleep quality

The Pediatric Sleep Questionnaire (PSQ) is used to assess sleep quality

Time frame
Baseline
4

Sleep quality

The Pittsburgh Sleep Quality Index (PSQI) is used to assess sleep quality

Time frame
Baseline

Other outcomes

Sponsors and contacts

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