New surgery could help paralyzed patients move again
NCT ID NCT04936620
First seen Jun 26, 2026 · Last updated Jul 07, 2026 · Updated 3 times
Summary
This study tests whether a surgical procedure called duroplasty can improve recovery after a severe spinal cord injury in the neck. The surgery involves opening the tough membrane around the cord and stitching in a patch to give the swollen cord more space. Researchers will compare standard surgery plus duroplasty to standard surgery alone in 222 adults, measuring changes in movement, sensation, and quality of life over a year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Duroplasty (surgical procedure to expand the dura around the spinal cord)
- What this could lead to
- If it works, this could become a new standard surgical treatment to improve recovery after severe spinal cord injury.
- What could go wrong
- This is a mid-stage trial with 222 participants, so results are not yet proven. The surgery carries risks like infection or further injury, and it may not improve outcomes more than standard care.
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
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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
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About 222 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2021
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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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
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16 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: 1. Age ≥16 years 2. Severe cervical (C2 - T1) traumatic spinal cord injury (AIS grade A-C) 3. Deemed to require and be suitable for surgery that includes laminectomy by local surgeon 4. Surgery within 72 hours of traumatic spinal cord injury 5. Able to provide informed consent or consultee declaration or proxy consent. Exclusion Criteria: 1. Dural tear due to traumatic spinal cord injury 2. Life-limiting or rehabilitation-restricting co-morbidities 3. Thoracic or lumbar traumatic spinal cord injury 4. Other central nervous system disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
29 sites in 12 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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12 de Octubre University Hospital
RECRUITINGMadrid, Spain
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Aarhus University Hospital
RECRUITINGAarhus, Denmark
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Addenbrooke's Hospital
RECRUITINGCambridge, United Kingdom
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BG Unfallklinik Frankfurt am Main
RECRUITINGFrankfurt, Germany
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Hadassah Medical Center
RECRUITINGJerusalem, Israel
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Hull Royal Infirmary
RECRUITINGHull, United Kingdom
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Kepler University Hospital
RECRUITINGLinz, Austria
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Klinik und Poliklinik für Neurochirurgie Universitätsklinikum Frankfurt, 60596 FRANKFURT AM MAIN
RECRUITINGFrankfurt, Germany
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Kuopio University Hospital
RECRUITINGKuopio, Finland
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Leeds General Infirmary
RECRUITINGLeeds, United Kingdom
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Masaryk Hospital
RECRUITINGÚstí nad Labem, Czechia
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Midlands Centre for Spinal Injuries,
ACTIVE_NOT_RECRUITINGOswestry, United Kingdom
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National Spinal Injuries Centre
ACTIVE_NOT_RECRUITINGAylesbury, United Kingdom
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North West Regional Spinal Injuries Centre
ACTIVE_NOT_RECRUITINGSouthport, United Kingdom
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Pinderfields Hospital
ACTIVE_NOT_RECRUITINGWakefield, United Kingdom
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Queen Elizabeth Hospital Birmingham
RECRUITINGBirmingham, United Kingdom
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Queen Elizabeth University Hospital
RECRUITINGGlasgow, United Kingdom
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Queen's Medical Centre
RECRUITINGNottingham, United Kingdom
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Royal Infirmary of Edinburgh
RECRUITINGEdinburgh, United Kingdom
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Salford Royal
RECRUITINGSalford, United Kingdom
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Shaare Zedek Medical Centre
RECRUITINGJerusalem, Israel
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Sheffield Teaching Hospitals NHS Foundation Trust
RECRUITINGSheffield, United Kingdom
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Skåne University Hospital
RECRUITINGLund, Sweden
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St George's Hospital
RECRUITINGLondon, United Kingdom
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St Mary's Hospital
RECRUITINGLondon, United Kingdom
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St Polten University Hospital
RECRUITINGSankt Pölten, Austria
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The London Spinal Cord Injury Centre
ACTIVE_NOT_RECRUITINGLondon, United Kingdom
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The Royal London Hospital
RECRUITINGLondon, United Kingdom
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The Walton Centre
RECRUITINGLiverpool, United Kingdom
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UZ Leuven
RECRUITINGLeuven, Belgium
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, China
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University Hospital Salzburg
RECRUITINGSalzburg, Austria
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University Medical Centre Ljubljana
RECRUITINGLjubljana, Slovenia
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Universität Klinik für Neurochirurgie
RECRUITINGInnsbruck, Austria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Serotonin precursor probed for spinal cord injury effects
- Breathing brief Low-Oxygen bursts may boost sleep apnea treatment
- Pure oxygen tested as a switch for dormant nerves after spinal cord injury
- Spinal stimulation tested to help kids with spinal cord injuries sit taller
- Zapping the spine: a new hope for kids with paralysis?
- Can painless spinal zaps teach injured kids to walk again?