Condition: Metastatic Spinal Cord Compression · Metastasis Spine · Sponsor: Copernicus Memorial Hospital
Background: Spinal metastatic disease constitute a serious clinical problem in oncology. Bones are the third most common organ where metastases are located, and the spine is the place where they are most often located. Due to the complexity of the clinical problem, metastatic spine disease remains of interest to many medical specialties: neurosurgery, orthopedics, clinical oncology, radiotherapy and rehabilitation. With the development of modern diagnostic methods and wider access to them, the demand for neurosurgical treatment in this group of patients is growing. Surgical treatment is undertaken in cases of spinal cord compression, instability, spinal deformation or pain that is resistant to radiotherapy. The standard treatment in most cases is posterior instrumentation of the spine using titanium pedicle screws. Unfortunately, these systems cause numerous artifacts in diagnostic imaging, both in CT and MRI. These distortions make it difficult to plan radiotherapy and determine the optimal dose that would avoid healthy tissues. Moreover, artifacts could make difficult postoperative follow-ups aimed at assessing local recurrence. The solution to these problems is the use of radiolucent implants. There are systems based on carbon fibers embedded in PEEK which do not cause typical artifacts for titanium implants. Study plan: The open, three-arm, prospective randomized study is planned to involve 226 patients with metastatic disease of the spine, with a known or undiagnosed pr…
This description comes directly from the study's public registry record.
Kamil Krystkiewicz, PhD · +48426895341 · kamil.krystkiewicz@gmail.com
Marcin Tosik, PhD · +48426895341 · sekretariat.neurochirurgia@kopernik.lodz.pl
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| Department of Neurosurgery, Functional Neurosurgery and Stereotaxy, Dr. Jan Biziel University Hospital No. 2 in Bydgoszcz | Bydgoszcz, Poland | Active Not Recruiting |
| Professor Franciszek Łukaszczyk Oncology Center in Bydgoszcz - National Research Institute | Bydgoszcz, Poland | Active Not Recruiting |
| Department of Teleradiotherapy, Lower Silesian Center of Oncology, Pulmonology and Hematology | Wroclaw, Poland | Active Not Recruiting |
| University Center of Neurology and Neurosurgery, Jan Mikulicz-Radecki University Clinical Hospital in Wrocław | Wroclaw, Poland | Active Not Recruiting |
| Copernicus Memorial Hospital in Łódź, Poland | Lodz, Łódź Voivodeship, Poland | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06293157