Actively Recruiting

Phase 4
Age: 10Years - 18Years
All Genders
NCT05561725

Perioperative Steroid Dosing on the APR in AIS

Led by Emory University · Updated on 2026-02-05

50

Participants Needed

1

Research Sites

164 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The objective of this study is to perform a prospective, randomized controlled trial investigating the clinical usage of perioperative dexamethasone usage on APR activation, postoperative morphine usage, postoperative nausea, and hospital length of stay. There will be a control control and a Dexamethasone cohort. Participants will be randomized into one of the two cohorts. Patients in the control group will receive one 8mg dose of dexamethasone intraoperatively as per standard of care anesthesia protocols. Patients randomized to the dexamethasone cohort will be administered 8 mg of dexamethasone with 3 additional doses administered at 8-hour intervals following surgery for a total of 4 doses. All study activities will tale place at Egleston during the patient's planned inpatient stay for their posterior spinal fusion. This project has the potential to validate the utility of dexamethasone as a way to optimize postoperative care following PSF for AIS by minimizing the need for opioid medications and enhancing mobility and recovery.

CONDITIONS

Official Title

Perioperative Steroid Dosing on the APR in AIS

Who Can Participate

Age: 10Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 10 to 18 years
  • Diagnosis of adolescent idiopathic scoliosis (AIS)
  • Scheduled for posterior spinal fusion surgery performed by Dr. Nicholas Fletcher at Children's Healthcare of Atlanta Egleston
Not Eligible

You will not qualify if you...

  • Patients outside the age range of 10 to 18 years
  • Patients with congenital or syndromic scoliosis
  • Pregnant women
  • Prisoners
  • Patients with systemic fungal infections

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Children Healthcare of Atlanta

Atlanta, Georgia, United States, 30329

Actively Recruiting

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Research Team

N

Nicholas Fletcher, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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