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Table 1 Primary and secondary outcome parameters

From: Clinical and radiological effect of medialized cortical bone trajectory for lumbar pedicle screw fixation in patients with degenerative lumbar spondylolisthesis: study protocol for a randomized controlled trial (mPACT)

Outcome parameters

Assessments

Primary outcome parameter

Oswestry Disability Index (ODI) at 2-year follow up to measure degenerative lumbar spondylolisthesis-related disability [8]

Secondary outcome parameter

Questionnaire

- Timed “Up and Go” test (TUG) [12]

- Beck depression inventory (BDI) [10]

- Changes in physical and mental health captured by the Short Form (SF)-12v2 [9]

- Core outcome measure index (COMI) [30, 31], patient-orientated outcome questionnaire including

- visual analog scale (VAS) for back and leg pain

- patient’s satisfaction

- work disability

- social disability

- Pain relief on 100-mm VAS for back pain and leg pain

- PainDetect Questionnaire (PD-Q) [11]

- EuroQoL 5-Dimension (EQ-5D) [9]

Intraoperative

- loss of blood (LOB)

- amount of blood transfusion

- operative time

- length of wound incision

- type of wound closure

Various

- duration of hospitalization

- device-related complications

- surgery-related complications

- re-operations

- adverse events (AE), severe adverse events (SAE)

Health care contacts

Pain medication usage

Hospital costs

Radiological evaluation

- MRI [13,14,15,16, 32]

- x-ray evaluation (antero-posterior, lateral, flexion and extension, standing for overall sagittal alignment and differences in lordosis)

- CT scan (overall fusion rate, rate of radiological and/or symptomatic adjacent segment disease, rate of pedicle and/or cage system implant failures)

Serum markers (CRP, leukocytes, TNF-α, IL-6)

  1. The primary study endpoint is the difference in Oswestry Disability Index between treatment groups at 2 years after surgery
  2. MRI magnetic resonance imaging, CT computed tomography, CRP C-reactive protein