Status:

RECRUITING

Percutaneous Vertebroplasty Vs. Sham for Osteoporotic Vertebral Compression Fractures Focusing on Pain and Economy.

Lead Sponsor:

Spine Centre of Southern Denmark

Conditions:

Osteoporotic Fractures

Vertebral Fracture

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

The purpose of this randomized double-blind clinical trial is to determine the efficacy of percutaneous vertebroplasty (PVP) in relieving severe pain in patients with MRI-verified acute or sub-acute o...

Detailed Description

The study design is a prospective, double-blind, randomized, sham-controlled clinical trial where patients are stratified into either involvement of 1-2 vertebral levels or 3-4 levels and randomized t...

Eligibility Criteria

Inclusion

  • Patients aged 50+ and diagnosed with symptomatic osteoporotic spinal compression fractures between T6 and L5 (incl).
  • Focal tenderness on the level of the vertebral fracture.
  • Fractures verified with oedema of the relevant vertebra on the MRI STIR sequence
  • Osteoporotic Fractures type 1-4.
  • Fracture involves no more than 4 vertebral body levels.
  • PVP can be done in one session.
  • Back pain score measured on a Visual Analog Scale (VAS, 0 to 100) ≥ 60.
  • Able to understand and read Danish.
  • Written informed consent.
  • Relevant pain started ≤ 3 months prior to enrollment.

Exclusion

  • \- Contra-indications for spine surgery.
  • Platelets \< 30 mia/l.
  • Osteoporotic Fractures type 5 and Pincer-type.
  • Complete collapse of the vertebral body precluding insertion of needle.
  • Presence of neurologic deficit.
  • Contraindications for MRI scanning.
  • Psychological or psychiatric disorder that is expected to interfere with compliance.
  • Active malignancy.
  • Mini Mental State Examination (MMSE) test score below 24.
  • History of chronic back pain requiring ongoing opiate use.
  • Systemic or local infection of the spine.

Key Trial Info

Start Date :

January 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2030

Estimated Enrollment :

240 Patients enrolled

Trial Details

Trial ID

NCT06141187

Start Date

January 1 2024

End Date

December 31 2030

Last Update

January 6 2025

Active Locations (1)

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1

Rygcenter Syddanmark

Middelfart, Fyn, Denmark, 5500