Clinical trial NCT07001969: Percutaneous Trans-facet Spine Fixation
Official title: Massoud-Goel Technique and Theory:
        Percutaneous Trans-facet Fixation for Treatment of Degenerative Spine
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Degenerative Spine
Degeneration of Lumbar Intervertebral Disc
Degenerative Cervical Disc Disease
Ligamentum Flavum Hypertrophy
Spinal Canal Stenosis
Spine Instability
Keywords: Percutaneous
Trans-facet
Fixation
Massoud-Goel
Technique and Theory for Treatment of Degenerative Spine
Lead sponsor: Armed Forces College of Medicine, Cairo, Egypt
Sponsor class: OTHER
Collaborators: name: Cairo University
name: Military Academy for Medical Sciences
First posted: 2025-06-03
Enrollment: 77
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

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.

Eligibility criteria: 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.

Primary outcomes:
measure: Pain relief
timeFrame: 3 months
Secondary outcomes:
measure: Functional recovery
timeFrame: 3 months
measure: Less complications
timeFrame: 1 year
measure: Spinal stability
timeFrame: 6 months
measure: Neurological decompression indirectly
timeFrame: 6 months
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: 434
state: Shorouk
Study officials:
References:
citation: Borm W, Konig RW, Albrecht A, Richter HP, Kast E. Percutaneous transarticular atlantoaxial screw fixation using a cannulated screw system and image guidance. Minim Invasive Neurosurg. 2004 Apr;47(2):111-4. doi: 10.1055/s-2004-818449.
citation: Magerl FP. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop Relat Res. 1984 Oct;(189):125-41.
citation: BOUCHER HH. A method of spinal fusion. J Bone Joint Surg Br. 1959 May;41-B(2):248-59. doi: 10.1302/0301-620X.41B2.248. No abstract available.
citation: KING D. Internal fixation for lumbosacral fusion. J Bone Joint Surg Am. 1948 Jul;30A(3):560-5. No abstract available.
citation: Goel A. Goel's classification of atlantoaxial "facetal" dislocation. J Craniovertebr Junction Spine. 2014 Jan;5(1):3-8. doi: 10.4103/0974-8237.135206. No abstract available.
citation: Satoskar SR, Goel AA, Mehta PH, Goel A. Quantitative morphometric analysis of the lumbar vertebral facets and evaluation of feasibility of lumbar spinal nerve root and spinal canal decompression using the Goel intraarticular facetal spacer distraction technique: A lumbar/cervical facet comparison. J Craniovertebr Junction Spine. 2014 Oct;5(4):157-62. doi: 10.4103/0974-8237.147079.
citation: Goel A. From "only decompression" to "only fixation:" A century-long journey of surgical treatment for spinal spondylosis. J Craniovertebr Junction Spine. 2018 Oct-Dec;9(4):219-220. doi: 10.4103/jcvjs.JCVJS_118_18. No abstract available.