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Unilateral Posterior Wedge ClosingNCT06969339

Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Congenital Kyphoscoliosis

An observational study of Unilateral Posterior Wedge Closing, run by Assiut University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Official record
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Trial summary

A retrospective analysis of 12 adolescents undergoing unilateral posterior wedge closing VCR for neglected congenital kyphoscoliosis, assessing surgical outcomes over a mean 2.9-year follow-up. Read more about this study

Who is it for?
Ages 10 to 40 years
Conditions the study is for
Unilateral Posterior Wedge Closing
How many people
15 participants
Where
No sites listed yet
Study dates
30 Aug 2025to 30 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 10 to 40 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: The study population consisted of adolescents (mean age 15.7 years) with neglected congenital kyphoscoliosis, who had not undergone any prior spinal surgery and had complete preoperative and follow-up imaging data. The sample represents a total coverage of all cases meeting criteria during the study period, reflecting the rarity of congenital kyphoscoliosis requiring surgical intervention in adolescence, The patients who have moderate to severe spinal deformity, with a mean preoperative Cobb angle of 53.2° (kyphoscoliosis involves abnormal curvature in both sagittal and coronal planes, hese cases typically present during adolescence, coinciding with the second growth spurt, which is a known period for progression of congenital spinal deformities

Who may be able to join

  • Age >10 years.
  • Congenital kyphoscoliosis diagnosis.
  • No prior spinal surgery.
  • Preoperative CT/MRI and 24-month follow-up data.

Who cannot join

  • Idiopathic or neuromuscular scoliosis
  • Previous spinal surgery
  • Incomplete radiographic or follow-up data

About this study

Official title: Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Adolescent Neglected Congenital Kyphoscoliosis

A retrospective analysis of 12 adolescents undergoing unilateral posterior wedge closing VCR for neglected congenital kyphoscoliosis, assessing surgical outcomes over a mean 2.9-year follow-up.

Read the detailed description

Design: Single-center case series (Assiut University Hospital, 2015-2020).

Intervention: Modified posterior VCR with unilateral convex wedge resection, spinal shortening, and instrumentation.

Key Steps:

Preoperative CT/MRI for anatomical planning.

Posterior-only approach with pedicle screw instrumentation.

Wedge resection focused on convex side, preserving concave continuity.

Bone grafting (cancellous or mesh cage) post-correction.

Follow-up: Radiographic and clinical assessments up to 2 years post-surgery.

Keywords
unilateral posterior wedge closing, neglected congenital kyphoscoliosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06969339
Study groupRoleWhat they receive
patients with untreated congenital kyphoscoliosis, no prior surgeryadolescent patients with untreated congenital kyphoscoliosis, no prior surgery, and complete imaging/follow-up data.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cobb angle correction

    Change in coronal deformity angle (pre-op to post-op and 2-year follow-up).

    Measured: Baseline, and 2-year follow-up.

Secondary outcomes (1)
  1. Blood loss

    Intraoperative hemorrhage volume.

    Measured: Intraoperative

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 May 2025
  2. Study start30 Aug 2025 (estimated)
  3. Primary completion30 Oct 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Retrospective
Enrolment
15 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06969339
Sponsor's protocol ID
Posterior wedge closing
Status last verified
May 2025
First submitted
2 May 2025
Last updated
13 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER, Nah KH. Posterior vertebral column resection for severe spinal deformities. Spine (Phila Pa 1976). 2002 Nov 1;27(21):2374-82. doi: 10.1097/00007632-200211010-00012.

    PubMed 12438987
  • Yang JH, Kim HJ, Chang DG, Suh SW, Nam Y, Hong JY. The Efficacy of Single-Stage Correction by Posterior Approach for Neglected Congenital Scoliosis: Comparative Analysis According to the Age of Surgical Intervention. J Clin Med. 2022 Apr 19;11(9):2278. doi: 10.3390/jcm11092278.

    PubMed 35566404

Questions about this trial

What is this clinical trial studying?

An observational study of Unilateral Posterior Wedge Closing, run by Assiut University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 13 May 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cobb angle correction (time frame: Baseline, and 2-year follow-up.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06969339, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2025.

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