CClinicalTrials.gg
CompletedNCT00868335Updated Mar 22, 2016

Cervical Spine; Movement Before and After Anterior Cervical Discectomy, With or Without a Cervical Disc Prosthesis

An interventional study of Activ C disc prosthesis and Anterior cervical discectomy in Diskectomy and Intervertebral Disk Displacement, sponsored by Maastricht University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2016-03-22.

Sponsored by Maastricht University Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to find out if use of a cervical disc prosthesis in the treatment of a cervical disc herniation preserves or restores normal mobility and movement in the cervical spine.

Read the detailed description

Intractable nerve pain to the arm caused by a cervical disc herniation is typically treated by removal of the protruding disc through an operation. Fusion of the discs follows in about 70% of cases.

Adjacent disc disease (ADD), symptomatic degenerative changes in the levels adjacent to the operated level is regarded as a late complication. Fusion at the operated level is thought to contribute to this process due to compensative increased mobility and stress on the adjacent segments.

Keeping the operated segment mobile through the use of a cervical disc prosthesis possibly prevents ADD.

We hypothesize that use of a cervical disc prosthesis preserves or restores normal mobility to the cervical spine. To test this hypothesis subjects are randomised in a group receiving a standard anterior cervical discectomy, and a group receiving a standard discectomy with placement of a cervical disc prosthesis. Digital X-ray cinematographic videos are made of a flexion/extension movement. The videos will be analyzed manually and through a newly designed automated program, to check for mobility and order of movement.

02

Conditions studied

  • Diskectomy
  • Intervertebral Disk Displacement

Keywords

  • Cervical degenerative disc disease
  • Anterior cervical discectomy
  • Cervical disc prosthesis
  • Activ-C
  • Mobility
  • Movement
03

In context

Intervertebral Disc Displacement

478 studies on the registry are indexed under Intervertebral Disc Displacement; 104 are open to participants now.

This study's enrollment of 24 is below the median of 63 across 344 interventional studies indexed under Intervertebral Disc Displacement.

Browse Intervertebral Disc Displacement studies →

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 835 studies on the registry; 122 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • indication for anterior cervical discectomy
  • monoradicular syndrome caused by compression at C5-6 or C6-7
  • monosegmental disease on MRI
  • able to actively perform flexion/extension movement
  • segmental mobility on the afflicted level >2 degrees of rotation
  • informed consent

Exclusion criteria

Exclusion Criteria:

  • previous operative interventions on the cervical spine
  • multiple segments afflicted
  • positive L'Hermittes sing
  • Active infection
  • Immature bone
  • Tumorous processes in the cervical region
  • Previous radiation therapy in the cervical region
  • Pregnancy
  • Cervical myelopathy
  • not able to speak Dutch
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Active comparator
    1

    Anterior cervical discectomy, no disc prosthesis

    Procedure: Anterior cervical discectomy

  • Experimental
    2

    Anterior cervical discectomy, with disc prosthesis

    Device: Activ C disc prosthesis · Procedure: Anterior cervical discectomy

Interventions

  • DeviceActiv C disc prosthesis

    cervical disc prosthesis

    Also known as: Activ C cervical disc prosthesis, B.Braun/Aesculap Spine

  • ProcedureAnterior cervical discectomy

    Removal of protruding cervical disc through an anterior approach

06

What researchers measure

Primary outcomes

  1. Order of movement

    Time frame: baseline, 3 months, 12 months

  2. Segmental mobility

    Time frame: Baseline, 3 months, 12 months

Secondary outcomes

  1. Treatment of symptoms (pain, neurological assessment)

    Time frame: Baseline, 3 months, 12 months

  2. Influence on subjects functioning (social, work)

    Time frame: Baseline, 3 months, 12 months

07

Study locations

1 site
  • Maastricht University Medical Center
    Maastricht, Limburg 6229 HX, Netherlands
08

References and documents

Publications

  • Boselie TF, van Mameren H, de Bie RA, van Santbrink H. Cervical spine kinematics after anterior cervical discectomy with or without implantation of a mobile cervical disc prosthesis; an RCT. BMC Musculoskelet Disord. 2015 Feb 21;16:34. doi: 10.1186/s12891-015-0479-4. PubMed 25887569 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00868335
Lead sponsor
Maastricht University Medical Center
Collaborators
B. Braun/Aesculap Spine
Responsible party
Toon Boselie (MD, Maastricht University Medical Center) — Principal investigator
First posted
Mar 24, 2009
Start date
Dec 2007
Primary completion
Oct 2015
Completion
Oct 2015
Last update
Mar 22, 2016

Study contacts

H van Santbrink, MD, PhD
principal investigator · Department of Neurosurgery, Maastricht University Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

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