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Which spinal fixation holds up better after a back fracture?

NCT ID NCT07777653

Disease control Sponsor: Assiut University Source: ClinicalTrials.gov ↗

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time

Summary

This trial compares two surgical techniques for treating a specific type of thoracolumbar fracture (AO type B) — a common injury at the junction of the mid-back and lower back. Half of the participants will receive short-segment screw fixation, while the other half will receive long-segment fixation. The goal is to see which approach better corrects the spine's alignment during surgery and maintains that correction over a year, while also comparing pain and functional recovery.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Short-segment versus long-segment transpedicular screw fixation (spinal fusion surgery)
What this could lead to
If one approach proves superior, it could guide surgeons toward a technique that better restores and maintains spinal alignment after a common type of back fracture, potentially improving long-term outcomes and reducing the need for additional surgery.
What could go wrong
This is a relatively small study (60 patients) and results may not apply to everyone with this injury. Surgery carries general risks like infection, bleeding, or nerve damage, and the best approach may vary by individual patient anatomy.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 60 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

Oct 2028

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 65 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age 18-65 years * Acute traumatic thoracolumbar fracture (AO type B) * Single-level fracture * Neurologically intact patient (ASIA E) Exclusion Criteria: * Pathological fractures (malignancy, infection, metabolic bone disease) * Significant neurological deficit (ASIA A-D) * Previous spinal surgery at or adjacent to the fracture level * 2 or more level fractures * Associated anterior column reconstruction requirement (corpectomy) * Polytrauma precluding early spinal surgery * Pregnancy * Performance of surgical decompression

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Conditions

The condition(s) this trial relates to.

spinal fracture

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Thoracolumbar compression fractures

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Assuit University Hospitals

    Asyut, Abnoub, 71641, Egypt

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