A new ligament-tethering technique may spare spine patients from fusion surgery
NCT ID NCT06024785
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
This trial tests whether a novel surgical technique called vertebropexy—which uses a donor ligament to stabilize the spine—can match or outperform standard decompression or fusion surgery for degenerative lumbar spinal disease. The study enrolls adults needing single- or two-level lumbar surgery for spinal stenosis with or without degenerative listhesis. Researchers will compare pain, disability, and the need for additional surgery over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Vertebropexy (ligamentous fixation) surgery
- What this could lead to
- If successful, vertebropexy could offer a less invasive alternative to spinal fusion, potentially preserving more motion and reducing the need for additional surgery.
- What could go wrong
- This is a relatively new technique, and it may not be as effective as fusion for stabilizing the spine. There is also a risk of graft-related complications or the need for revision surgery.
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 164 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jan 2025
- Expected to finish
-
Dec 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 years and older
- 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 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: * Age ≥ 18 years * Single-level or two-level lumbar surgery needed * Indication for decompression surgery in patients with spinal canal stenosis and additional stable degenerative listhesis (without facet joint effusion ≥ 2mm) * Indication for fusion surgery in patients with spinal canal stenosis and additional unstable degenerative listhesis (facet joint effusion ≥ 2mm), in patients with foraminal stenosis and additional degenerative listhesis, and in patients with segment degeneration of the disc * Understanding in German language Exclusion criteria: * Indication for decompression and/or fusion surgery in patients with solely disc herniation, fractures, lytic listhesis, tumor * Patients undergoing revision surgery for infection * Patients undergoing revision surgery on the same level if bony structures have been removed (e.g. prior laminectomy or midline decompression) * Patients undergoing revision surgery in case of prior fusion surgery * Inability to understand the study for linguistic or cognitive reasons * Anticipated clinical follow-up of less than 6 weeks after inclusion * Participation in other clinical trials
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Degeneration are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Balgrist University Hospital
RECRUITINGZurich, Canton of Zurich, 8008, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can ultrasound dye reveal spinal cord damage Mid-Surgery?
- Can a One-Day mindset workshop stop chronic pain after back surgery?
- Fine-tuning nerve monitoring during spine surgery could reduce injury risk
- Massive spine study tracks 15,000 patients for 5 years
- Spine surgery devices under the microscope: do they really work?
- Ear-Zap may speed Post-Surgery waking and cut depression risk