ClinicalTrials.gg
Status unknownNCT01224379Topping-offUpdated Oct 20, 2010

Comparison of Standard Fusion With "Topping Off"-System in Lumbar Spine

An interventional study of Topping off system and monosegmental PLIF in Spondylolisthesis and Erosive Osteochondrosis in L2-S1, sponsored by University of Cologne. Status unknown at 1 site in Germany. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2010-10-20.

Sponsored by University of Cologne · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2010), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
30 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Spondylolisthesis with a site in Germany — 1 open to participants now, 3 under way, none of them phase 3. Spondylolisthesis · Germany.

Started
2011
the only one that year
No phase
5 of 15
1 open now
Registered
2nd of 15
by date
Lead sponsor
2 of 15
University of Cologne

Among the 15 studies in Spondylolisthesis with a site in Germany, this one is the only one that started in 2011, is one of 5 with no phase, and was the 2nd registered.

Spondylolisthesis

227 studies on the registry are indexed under Spondylolisthesis; 43 are open to participants now.

Browse Spondylolisthesis studies →

Open to participants now

1 of the 15 studies in Spondylolisthesis with a site in Germany is open now. Recruiting first, the newest first:

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 27 Spondylolisthesis studies recruiting now, 11 (41%) set no upper age limit and 8 (30%) stop at 75 or younger; 7 take children under 18; 3 take healthy volunteers.

This study: 30 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Does a new "topping-off" device lead to a better clinical outcome compared to standard fusion? Does this device prevent the development of adjacent instability? Does radiological adjacent instability correlate with clinical outcome?

Read the detailed description

Primary efficacy endpoint:

The baseline and follow-up values after 6 weeks after the operation as well as 6 and 12 months after baseline of the SF-36 (Short-Form-36)-Measured Outcome regarding the Physical Component Summary (PCS).

Key secondary endpoint(s):

  1. Mental Component Summary (MCS) and individual dimensions and subscales of the SF-36
  2. Individual dimensions of the Oswestry Disability Index (ODI)
  3. Time until radiological adjacent instability and comparison to the clinical outcome
  4. Capacity of work at the time of surgery and after surgery, time until return to work

Assessment of safety:

  1. Treatment complication in control and intervention groups (SAE-management)
  2. A rating committee will provide consistency of the procedure and the assessment of data (e.g. by intraoperative photos, surgery reports, x-rays) to minimize bias
03

Conditions studied

  • Spondylolisthesis
  • Erosive Osteochondrosis in L2-S1

Browse trials for

Keywords

  • Lumbar spine
  • fusion
  • adjacent instability
  • topping-off.
04

Who can participate

Ages eligible
30 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key inclusion criteria:

  1. Male or female >30 years of age
  2. Lumbar spine pathology with indication for monosegmental PLIF
  3. Radiological signs of a degeneration of the adjacent segment without instability

Key exclusion criteria:

  1. Radiological signs of existing instability of the adjacent segment 2. Normal endplates and no disc desiccation in MRI in the adjacent seg-ment 3. Previous surgery of the lumbar spine

-

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Other
    Arm1: "topping off" system

    The intervention group will receive a "topping off" system (PLIF -posterior intervertebral fusion- connected with a flexible pedicle screw system above the fusion).

    Device: Topping off system

  • Other
    Arm 2: monosegmental PLIF

    The control group receives a monosegmental PLIF. This is the current standard therapy for many pathologies in the lumbar spine (e.g. Spondylolisthesis)

    Device: monosegmental PLIF

Interventions

  • DeviceTopping off system

    The intervention group will receive a "topping off" system (PLIF -posterior intervertebral fusion- connected with a flexible pedicle screw system above the fusion).

    Also known as: Topping off

  • Devicemonosegmental PLIF

    The control group receives a monosegmental PLIF. This is the current standard therapy for many pathologies in the lumbar spine (e.g. Spondylolisthesis)

06

What researchers measure

Primary outcomes

  1. SF36

    Primary efficacy endpoint: The baseline and follow-up values after 6 weeks after the operation as well as 6 and 12 months after baseline of the SF-36 (Short-Form-36)-Measured Outcome regarding the Physical Component Summary (PCS).

    Time frame: 6 Month

Secondary outcomes

  1. 1.Mental Component Summary (MCS) and individual dimensions and subscales of the Mental Component Summary (MCS) and individual dimensions and subscales of SF-36

    1. Mental Component Summary (MCS) and individual dimensions and subscales of the SF-36 follow-up values after 6 weeks after the operation as well as 6 and 12 months after baseline

    Time frame: 6 weeks

  2. Safety

    Assessment of safety: 1. Treatment complication in control and intervention groups (SAE-management) 2. A rating committee will provide consistency of the procedure and the assessment of data (e.g. by intraoperative photos, surgery reports, x-rays) to minimize bias

    Time frame: all time

  3. Individual dimensions of the Oswestry Disability Index (ODI)

    Individual dimensions of the Oswestry Disability Index (ODI) follow-up values after 6 weeks after the operation as well as 6 and 12 months after baseline

    Time frame: 6weeks

  4. Time until radiological adjacent instability and comparison to the clinical outcome

    Time until radiological adjacent instability and comparison to the clinical outcome follow-up values after 6 weeks after the operation as well as 6 and 12 months after baseline

    Time frame: 6 weeks

  5. Capacity of work at the time of surgery and after surgery, time until return to work

    Capacity of work at the time of surgery and after surgery, time until return to work follow-up values after 6 weeks after the operation as well as 6 and 12 months after baseline

    Time frame: 6 weeks

07

Study locations

1 site
  • University of Cologne, Department of Orthopedics& traumasurgery
    Cologne, 50931, Germany
08

References and documents

Publications

  • Siewe J, Otto C, Knoell P, Koriller M, Stein G, Kaulhausen T, Eysel P, Zarghooni K, Franklin J, Sobottke R. Comparison of standard fusion with a "topping off" system in lumbar spine surgery: a protocol for a randomized controlled trial. BMC Musculoskelet Disord. 2011 Oct 18;12:239. doi: 10.1186/1471-2474-12-239. PubMed 22008088 ↗

Related links

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2011, a primary completion of Jul 2012 and a completion of Oct 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 19, 2010
First posted
Oct 20, 2010
Start
Jan 2011
Primary completionEst.
Jul 2012
CompletionEst.
Oct 2012
Last update
Oct 20, 2010
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 20, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01224379
First posted
Oct 20, 2010
Start date
Jan 2011
Primary completion
Jul 2012 (estimated)
Completion
Oct 2012 (estimated)
Last update
Oct 20, 2010

Study contacts

Jan Siewe, Dr.
Contact
studienzentrum-ortho-unfall@uk-koeln.de
+49-221-478-87294
Margarete Wicharz
Contact
studienzentrum-ortho-unfall@uk-koeln.de
+49-221-478-87294
Jan Siewe, Dr.
principal investigator · University of Cologne

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2010. You cannot join it, but the record below documents what was studied.

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