Status:

ACTIVE_NOT_RECRUITING

Multimodal Bio-mechanical Analysis of Adult Spinal Deformity With Sagittal Plane Misalignment

Lead Sponsor:

Universitaire Ziekenhuizen KU Leuven

Conditions:

Spinal Deformity

Eligibility:

All Genders

18-79 years

Phase:

NA

Brief Summary

A good understanding of the principles of balance is vital to achieve optimal outcomes when treating spinal disorders. A complex interaction of the neuromotor system and muscular recruitment is necess...

Detailed Description

A good understanding of the principles of balance is vital to achieve optimal outcomes when treating spinal disorders. A complex interaction of the neuromotor system and muscular recruitment is necess...

Eligibility Criteria

Inclusion

  • Pathological group
  • Age \>= 45 years
  • Diagnosis of adult congenital, degenerative, idiopathic or iatrogenic spinal deformity
  • Scoring at least 25 out of 30 on Mini Mental State Examination
  • Ability to walk at least 50 meters distance independently without a walking aid
  • Sagittal malalignment: PI-LL ≥ 25 degrees; sagittal vertical axis \>5cm; pelvic tilt \>25° and/or thoracic kyphosis \> 60° and/or coronal malalignment: thoracic scoliosis 30 ≥ degrees; thoracolumbar/lumbar scoliosis ≥ 30 degrees; global coronal malalignment \>3cm, posterior spinal fusion \> 4 levels + iliac fixation.
  • Ability and willingness of patient to attend follow-up visits and complete patient questionnaires
  • Completed patient informed consent
  • Control group
  • Asymptomatic adults not suffering from a spinal deformity leading to a pathological sagittal alignment presenting as volunteer in the University Hospitals Leuven, Belgium
  • Age \>=45 years old
  • Scoring at least 27 out of 30 on Mini Mental State Examination
  • Ability to walk at least 1000 meters distance independently without a walking aid
  • Ability and willingness of patient to attend follow-up visits and complete patient questionnaires
  • Completed patient informed consent

Exclusion

  • Pathological group
  • Age \< 45 years old
  • Absence of adult spinal deformity
  • Scoring less than 25 out of 30 on Mini Mental State Examination
  • Non-ability to walk at least 50 meters distance independently, with or without a walking aid.
  • Missing patient informed consent
  • Patients presenting with a neurological disease affecting balance other than Parkinson's disease such as stroke and/or Vestibular lesion
  • Patients with a current history of diagnosed musculoskeletal disorders of the trunk and/or lower extremities affecting the motor performance such as severe hip arthrosis with or without flexion contracture, severe knee arthrosis, severe ankle arthrosis, severe leg length discrepancy (\> 3 cm)
  • BMI\>30
  • Control group
  • Age \< 45 years old
  • Backpain and/or Sciatica at time of the study
  • Presence of adult spinal deformity leading to a pathological sagittal alignment
  • Scoring less than 27 out of 30 on Mini Mental State Examination
  • Non-ability to walk at least 1000 meters distance independently without a walking aid
  • Missing patient informed consent
  • Patients presenting with a neurological disease affecting balance such as Stroke, Parkinson's disease and/or Vestibular lesion
  • Patients with a current history of diagnosed musculoskeletal disorders of the trunk and/or lower extremities affecting the motor performance such as severe hip arthrosis with or without flexion contracture, severe knee arthrosis, severe ankle arthrosis, severe leg length discrepancy (\> 3 cm)
  • BMI \> 27

Key Trial Info

Start Date :

January 1 2016

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

265 Patients enrolled

Trial Details

Trial ID

NCT04812730

Start Date

January 1 2016

End Date

December 1 2028

Last Update

November 8 2024

Active Locations (1)

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UZ Leuven

Leuven, Vlaams-Brabant, Belgium, 3000