Actively Recruiting

Phase Not Applicable
Age: 10Years +
All Genders
ID04761549

Identification of Key Parameters to Initiate the Shift Towards 3D, Dynamic and Mechanically-informed Decision Making in Adolescent Idiopathic Scoliosis

Led by Universitaire Ziekenhuizen KU Leuven · Updated on 2026-03-09

100

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Adolescent Idiopathic Scoliosis (AIS) is a spinal growth defect mostly affecting prepubertal children aged 10 to 14 years, causing lateral curves and rotations of the spine. AIS can lead to posture problems, back pain, and visible asymmetry, such as uneven shoulders. Early diagnosis and proper treatment are important to stop curve progression and reduce related health issues. Current surgical decisions rely on two-dimensional X-rays, which may not capture the full three-dimensional and dynamic nature of the spine's deformity, leading to suboptimal outcomes and revision surgeries. Treatment options include wearing a brace for immature patients with curves between 25 and 40 degrees. If the curve does not respond and growth potential remains, vertebral body tethering (VBT), a minimally invasive FDA-approved device that gradually corrects scoliosis by slowing growth on one side, may be considered. For curves of 50 degrees or more with little growth left, spinal fusion surgery is recommended to permanently correct the spine by attaching vertebrae with surgical hardware. The study aims to improve surgical planning by using 3D dynamic and mechanical information from musculoskeletal models, moving beyond current 2D static assessments. Participants will undergo questionnaires, radiological EOS scans, and 3D dynamic motion analyses to gather detailed data on spinal deformity and mechanics. Researchers will measure 3D dynamic parameters up to two years after surgery and develop biomechanically-informed 3D models specific to AIS. This approach hopes to help surgeons make evidence-based decisions, improve patient outcomes, reduce complications, and lower the costs associated with AIS treatment. The study is sponsored by Universitaire Ziekenhuizen KU Leuven and involves patients aged 10 to 35 undergoing VBT or selective fusion surgery.

CONDITIONS

Brief Title

3D, Dynamic and Mechanically-informed Decision Making in AIS

Who Can Participate

Age: 10Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient diagnosed with Adolescent Idiopathic Scoliosis
  • Aged 10 to 35 years
  • Scheduled for vertebral body tethering (VBT) or selective fusion surgery at UZ Leuven
  • Informed consent obtained, including from parent/guardian for minors
Not Eligible

You will not qualify if you...

  • Previous fusion or vertebral body tethering surgery
  • Severe underlying illness that might affect surgery outcome
  • Investigator's discretion to exclude patient for other reasons

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 2 years post-operatively

Participants undergo questionnaires, radiological EOS scans, and 3D dynamic motion analysis to gather detailed 3D dynamic and mechanical information about the spine.

Multiple visits over 2 years post-operatively

Trial Site Locations

Total: 1 location

1

UZ Leuven

Leuven, Vlaams-Brabant, Belgium, 3000

Actively Recruiting

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Research Team

S

Sebastiaan Schelfaut

L

Lennart Scheys

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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