Could a simple dural patch boost recovery after spinal cord injury?
NCT ID NCT07733401
First seen Jul 29, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This trial tests whether adding a procedure called expansile duraplasty — opening and expanding the tough membrane around the spinal cord — to standard spinal surgery can improve neurological recovery in adults with acute severe spinal cord injury. Participants are randomly assigned to receive either standard surgery alone or standard surgery plus the dural patch. The study tracks motor function, walking ability, independence, and safety over 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- expansile duraplasty (a surgical procedure that opens and expands the spinal cord covering to relieve pressure)
- What this could lead to
- If it works, this could point toward a better surgical approach for severe spinal cord injuries, potentially improving motor recovery and quality of life.
- What could go wrong
- This is a relatively small, early-stage trial, so results may not apply to all patients. The added surgery carries risks like infection or cerebrospinal fluid leak.
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 80 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
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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18 to 80 years
- 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. Aged between 18 and 80 years old, with no restrictions on gender; 2. Patients diagnosed with traumatic cervical or thoracic spinal cord injury (C2-T12) via clinical evaluation including medical history collection, physical examination and auxiliary imaging tests; 3. Classified as Grade A, B or C according to the ASIA Impairment Scale (AIS) based on the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI); 4. Scheduled to receive surgical intervention within 72 hours after traumatic spinal cord injury; 5. Preoperative T2-weighted MRI shows no cerebrospinal fluid signal between the spinal cord and dura mater at a minimum of one vertebral segment; 6. Good general physical condition with an expected survival time of no less than 12 months; 7. Voluntarily participate in this trial, sign the written informed consent form, exhibit good compliance and cooperate with all follow-up visits; 8. Judged by attending surgeons to meet the surgical indications for posterior laminectomy and spinal internal fixation, with surgical decision-making based on surgeons' clinical experience. Exclusion Criteria: 1. Transverse spinal cord injury; 2. Gunshot or penetrating sharp spinal cord injury; 3. Pre-existing dural laceration caused by traumatic spinal cord injury; 4. Spinal cord injury without radiographic abnormality (SCIWORA, spinal injury without fracture or dislocation); 5. Acute exacerbation of pre-existing chronic spinal cord injury; 6. Traumatic spinal cord injury complicated with epidural or subdural hematoma; 7. Severe concomitant traumatic brain injury defined as a Glasgow Coma Scale (GCS) score \< 14; patients unable to follow simple verbal commands due to altered mental status; or patients with clinically significant abnormalities on cranial CT (only patients with suspected brain injury identified by investigators require cranial CT scanning); 8. Presence of underlying comorbidities that contraindicate surgery or interfere with accurate medical and neurological assessments (judged by the principal investigator).
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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
13 sites. 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. 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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Beijing Jiangong Hospital
Beijing, Beijing Municipality, China
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Beijing Shuili Hospital
Beijing, Beijing Municipality, China
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Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine
Cangzhou, Hebei, China
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Gaozhou Hospital of Traditional Chinese Medicine, Guangdong Province
Maoming, Guangdong, China
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Jinan Central Hospital, Affiliated to Shandong First Medical University
Jinan, Shandong, China
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Liaocheng Brain Hospital
Liaocheng, Shandong, China
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Shandong University Qilu Hospital (Dezhou Branch)
Dezhou, Shandong, 253001, China
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Shanxi Provincial People's Hospital
Taiyuan, Shanxi, China
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The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
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The Third Affiliated Hospital of Southern Medical University
Guangzhou, Guangdong, China
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Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, China
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Xuanwu Hospital Inner Mongolia Hospital (Chifeng City Hospital)
Chifeng, Inner Mongolia, China
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Xuanwu Hospital, Capital Medical University
Beijing, Beijing Municipality, 100053, China
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Other studies related to the condition(s) this trial covers.
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- Spinal implant aims to restore bladder control after paralysis
- Scientists map the daily rhythms of chronic pain
- Can AI learn to tune spinal cord stimulators?
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- Robotic exoskeletons go home: can daily wear change life after spinal cord injury?