[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100552213":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":30,"locations":40,"responsibleParty":56,"collaborators":25,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":64,"eligibilityCriteria":65,"healthyVolunteers":60,"sex":66,"minAge":67,"maxAge":25,"enrollmentInfo":68,"targetDuration":25,"studyType":71,"phases":72,"briefSummary":74,"conditions":75,"keywords":25,"overallStatus":79,"whyStopped":25,"lastUpdateSubmitDate":80,"lastUpdatePostDateStruct":81,"startDateStruct":84,"completionDateStruct":86,"leadSponsor":88,"locationsCount":89},{"fullName":5,"class":6},"Xuanwu Hospital, Beijing","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"DLS patients undergoing correction surgery in reference to our novel criteria","EXPERIMENTAL","Correcting deformity according to the priority-matching correction technique.",[13],"Procedure: Priority-matching correction technique in DLS",{"label":15,"type":6,"description":16,"interventionNames":17},"DLS patients undergoing correction surgery in reference to Obeid classification","Correcting deformity according to the standard proposed by Obeid and colleagues.",[18],"Procedure: Traditional correction technique in DLS",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Priority-matching correction technique in DLS","For Type 1 global coronal malalignment (GCM), TL\u002FL curve makes the primary contri- bution on C7PL shifting. First, inserting pedicle screws bilaterally. Second, aggressively decreasing the magnitude of TL\u002FL curve. Third, moderately leveling L4 endplate to pull the fusion segments to the middle line with hand pressure on the convexity of TL\u002FL curve. If the correctability of the key curve was limited, the correction of the minor curve would be con- vergent.\n\nFor Type 2 GCM, LS curve makes the primary contribution on C7PL shifting. First, releasing LS curve from the concave side using facetectomy after screws inserted. Second, performing L4-5 or L5-S1 trans- foraminal lumbar interbody fusion (TLIF) from the con- vexity of the fractional curve, with cages inserted at the concave side to assist deformity correction. Third, compressing the convexity of LS to horizontalize L4 endplate, followed by moderate manipulative reduction of TL\u002FL curve to adjust intraoperative coronal balance.",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Traditional correction technique in DLS","In concave coronal malalignment (CM), the correction of the main curve improves the CM, thus we can talk about convergent corrective objectives. The ability to correct the CM depends on the correctability of the main curve. The need of three-column osteotomies in order to obtain correction of CM depends on the location and flexibility of the main curve.\n\nThe correction of convex CM depends on the correction of the lumbosacral curve. The correction strategy will depend on many factors including the driver of the deformity, which should always be fused, but also the degeneration and stiffness of the compensatory curve which can lead to more extended fusion. The need of three-column osteotomies depends mainly on the stiffness of the lumbosacral curve.",[15],[31,36],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},"Shibao Lu","CONTACT","18810728213","wdfdoctor@126.com",{"name":37,"role":33,"phone":38,"phoneExt":25,"email":39},"Dongfan Wang","13821337116","1026607981@qq.com",[41],{"facility":42,"status":25,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"Xuanwu Hospital Capital Medical University","Beijing","Beijing Municipality","100053","China","CN",{"type":49,"coordinates":50},"Point",[51,52],116.39723,39.9075,{"lat":52,"lon":51},[55],{"name":37,"role":33,"phone":38,"phoneExt":25,"email":39},{"type":57,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR","100552213","priority-matching-correction-technique-in-degenerative-lumbar-scoliosis-100552213",false,"NCT06470165","Priority-Matching Correction Technique in Degenerative Lumbar Scoliosis","Global Coronal Malalignment in Degenerative Lumbar Scoliosis and Priority-Matching Correction Technique to Prevent Postoperative Coronal Decompensation","PMCTDLS","Inclusion Criteria:\n\n1. A diagnosis of DLS based on radiography and previous medical record,\n2. Age \\> 50 years\n\nExclusion Criteria:\n\n1. Leg length discrepancy,\n2. A history of spinal or pelvic surgery,\n3. A history of neuromuscular diseases, arthritis or tumor.","ALL","50 Years",{"count":69,"type":70},200,"ESTIMATED","INTERVENTIONAL",[73],"NA","Surgical outcomes, including radiographic outcomes, patient-reported outcomes, postoperative complications, and revision surgery rates, were compared in patients with degenerative lumbar scoliosis (DLS) who underwent correction surgery with reference to our priority-matching correction technique and the standard reported by Obeid and colleagues. Our findings may provide tangible guidance for surgical decision-making in DLS.",[76,77,78],"Degenerative Lumbar Disease","Scoliosis","Degenerative Scoliosis","NOT_YET_RECRUITING","2024-06-17",{"date":82,"type":83},"2024-06-24","ACTUAL",{"date":85,"type":70},"2024-08-21",{"date":87,"type":70},"2026-12-31",{"name":5,"class":6},1]