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CompletedNCT01972256Updated Jun 4, 2014

A Study Comparing Fusion Rates of Two Lumbar Fusion Procedures

An observational study in Pseudoarthrosis, Spinal Stenosis and Spondylolisthesis, sponsored by Baxano Surgical, Inc.. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-06-04.

Sponsored by Baxano Surgical, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
60
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to demonstrate the relative efficacy of two lumbar fusion procedures: transacral lumbar interbody fusion when used in conjunction with unilateral or bilateral posterior pedicle screw fixation as an adjunct to fusion, in comparison to transforaminal lumbar interbody fusion (TLIF) when used in conjunction with unilateral or bilateral supplemental screw fixation as an adjunct to fusion.

Subject candidates are those who had previously required and received fusion at L4-L5-S1 where these were the only lumbar levels treated for pseudoarthrosis, spinal stenosis, spondylolisthesis, or degenerative disc disease (DDD).

Read the detailed description

Consecutive subjects who were treated with the transsacral lumbar interbody fusion or TLIF procedures at least 2 years prior to the date the data is collected will be evaluated.

02

Conditions studied

  • Pseudoarthrosis
  • Spinal Stenosis
  • Spondylolisthesis
  • Degenerative Disc Disease (DDD)
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subject candidates are those who had required fusion at L4-L5-S1 where these were the only lumbar levels treated for pseudoarthrosis, spinal stenosis, spondylolisthesis, or degenerative disc disease (DDD).

Inclusion criteria

  • Adult 18 years of age or older
  • Male or female subject that had previously received the transsacral two-level procedure when used in conjunction with pedicle screw or facet screw fixation or TLIF two-level procedure with unilateral or bilateral supplemental screw fixation (e.g. pedicle screws, facet screws at L4-L5-S1 to treat pseudoarthrosis, spinal stenosis, spondylolisthesis, or degenerative disc disease (DDD)
  • Subject that was treated no less than 2 years prior to this evaluation with an transsacral or TLIF procedure by the participating surgeons
  • Subject that had a diagnosis that required a transsacral or TLIF procedure at the L4-L5-S1 levels and did not require treatment at any other lumbar levels at the time of surgery

Exclusion criteria

Exclusion Criteria:

  • Subject who did not receive the transsacral or TLIF procedure for fusion of L4-L5-S1
  • Subject who received lumbar fusion procedures at levels other than L4-L5-S1 at the time of surgery
04

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
60 participants (estimated)
Patient registry
No

Groups and cohorts

  • Previous transsacral fusion

    Subject candidates are those who had required a transsacral fusion at L4-L5-S1 where these were the only lumbar levels treated for pseudoarthrosis, spinal stenosis, spondylolisthesis, or degenerative disc disease (DDD).

  • Previous transforaminal lumbar interbody fusion

    Subject candidates are those who had required transforaminal lumbar interbody fusion at L4-L5-S1 where these were the only lumbar levels treated for pseudoarthrosis, spinal stenosis, spondylolisthesis, or degenerative disc disease (DDD).

05

What researchers measure

Primary outcomes

  1. Efficacy

    Fusion of the targeted vertebral bodies (L4-L5-S1) at 24 months as determined by independent orthopedic surgeon reviewer interpretation of high resolution Computed Tomography (CT) scan.

    Time frame: Assessed at 2 years post-op or greater

Secondary outcomes

  1. Safety

    Incidence of major device-related adverse events and/or failures, defined as those requiring revision surgery or a secondary operation, or events resulting in permanent disability or death.

    Time frame: 2 years post-op

Other outcomes

  1. Additional Secondary Endpoint: Efficacy

    Comparative Lordosis of L4-S1 at 24-months as determined by an independent orthopedic surgeon reviewer's interpretation of 24-month lateral (neutral) radiographs compared to baseline.

    Time frame: Assessed at 2 years post-op

06

Study locations

5 sites
  • Foundation for Orthopaedic Research and Education
    Tampa, Florida 33637, United States
  • Indiana Spine Group
    Indianapolis, Indiana 46032, United States
  • Bone and Joint Clinic of Baton Rouge
    Baton Rouge, Louisiana 70808, United States
  • Michigan Spine Institute
    Waterford, Michigan 48327, United States
  • Brazos Spine
    College Station, Texas 77845, United States
07

Registry details

Key details

Study ID
NCT01972256
Lead sponsor
Baxano Surgical, Inc.
Responsible party
Sponsor
First posted
Oct 30, 2013
Start date
Apr 2013
Primary completion
Feb 2014
Completion
Feb 2014
Last update
Jun 4, 2014

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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