ClinicalTrials.gg
CompletedNCT03176303Updated Sep 16, 2022

Study Using the SpinalStim Device Following Lumbar Fusion Surgery

An observational study in Lumbar Spine Degeneration, sponsored by Orthofix Inc.. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-16.

Sponsored by Orthofix Inc. · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
206
Ages
18 Years and older
Sex
All
01

Study summary

This study examines the effect of adjunctive use of the SpinalStim bone growth stimulator on lumbar fusion rate in high risk subjects who have had lumbar fusion surgery. All participants will wear the bone growth stimulator for a minimum of 2 hours/day for 6 months.

Read the detailed description

The purpose of this post market prospective study is to examine the effect of the adjunctive use of the Orthofix SpinalStim™ device on lumbar fusion rate in high risk subjects who have undergone lumbar fusion surgery. High risk subjects are those who are currently using nicotine, who are having a multi-level fusion, who have had a prior failed fusion at any lumbar level, who are diabetic or who are osteoporotic. Because this is a post market prospective study, subjects who are enrolled in this study will be identified by the Investigator as needing lumbar fusion surgery and asked if they would like to participate in a study looking at the efficacy of lumbar fusion with adjunctive use of the SpinalStim bone growth simulator. The type of lumbar fusion surgery performed (lateral lumbar interbody fusion [XLIF], posterior lumbar interbody fusion [PLIF], anterior lumbar interbody fusion [ALIF], posterolateral fusion) is up to the Investigator; the subjects in the study must be agreeable to using the bone growth stimulator daily for 6 months post surgery.

02

Conditions studied

  • Lumbar Spine Degeneration
03

In context

Lead sponsor

Orthofix Inc. is the lead sponsor of 17 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Study population

subjects from all over the United States are eligible for enrollment as long as they meet the inclusion/exclusion criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female, ≥ 18 years of age at the time of
  2. Requires a lumbar fusion surgery within 30 days of signing Informed Consent.

    a. Surgical approach is according to physician's discretion.

  3. Subject has one or more risk factors:

    • Is currently using nicotine
    • multi-level lumbar fusion surgery planned
    • Prior failed fusion at any lumbar level
    • Subject reported diabetes
    • Subject reported osteoporosis
  4. ≤ 45 kg/m2 at the time of consent.
  5. Must have reliable access to an iPhone or an iPad with Wi-Fi access for downloading the free device-specific app (iPhone 5S or higher, iPad, iPad Pro, iPad mini or iTouch using iOS v9.3 or later). When the android version of the mobile app for the SpinalStim becomes available (estimated to be Dec. 2017), subjects who have reliable access to devices using android operating systems will be eligible for study inclusion.
  6. Able and willing to complete electronic questionnaires and able to read and understand study instructions in English
  7. Able and willing to comply with the study plan and able to understand and sign the study-specific ICF.

Exclusion criteria

Exclusion Criteria:

  1. Scoliosis greater than 30 degrees
  2. Current alcoholism or drug abuse, and/or any known current addiction to pain medications or medical marijuana
  3. Any active or prior history of malignancy within last 5 years prior to fusion (except basal cell carcinoma of the skin).
  4. Any finding that places the subject at health risk, impacts the study, or affects completion of the study, in the opinion of the Investigator
  5. Any psychiatric illness that prevents subject from completing the assessments accurately, in the opinion of the Investigator
  6. Prisoners.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
206 participants (actual)
Patient registry
No

Groups and cohorts

  • Pulsed Electromagnetic Field

    one group all of whom will be treated with the PEMF device

    Device: SpinalStim

Interventions

  • DeviceSpinalStim

    PEMF osteogenesis stimulator

06

What researchers measure

Primary outcomes

  1. fusion rate

    number of subjects with fused lumbar vertebrae, determined by X-rays and CT scans

    Time frame: 12 months

Secondary outcomes

  1. Device compliance

    actual minutes per day device was used compared with prescribed treatment time

    Time frame: 6 months

  2. revision rate

    how many subjects had to be reoperated (revised) at the same level(s) during the course of the study

    Time frame: 12 months

  3. SF-36

    used to assess the effect of PEMF treatment on subject quality of life

    Time frame: 12 months

  4. Oswestry Disability Index

    used to examine the effect of PEMF treatment on subject disability

    Time frame: 12 months

  5. VAS pain

    used to assess the effect of PEMF treatment on reduction of pain

    Time frame: 12 months

  6. EQ-5D

    used to assess the effect of PEMF treatment on quality of life and economic impact

    Time frame: 12 months

07

Study locations

1 site
  • ClinTech Center for Spine Health
    Johnstown, Colorado 80534, United States
08

References and documents

Publications

  • Weinstein MA, Beaumont A, Campbell P, Hassanzadeh H, Patel V, Vokshoor A, Wind J, Radcliff K, Aleem I, Coric D. Pulsed Electromagnetic Field Stimulation in Lumbar Spine Fusion for Patients With Risk Factors for Pseudarthrosis. Int J Spine Surg. 2023 Dec 26;17(6):816-823. doi: 10.14444/8549. PubMed 37884337 ↗

Individual participant data

Plan to share: Undecided — if we decide to share, we will only share deidentified summary data

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2017 to primary completion in Jul 2021, 48 months.

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

Registered
Apr 27, 2017
First posted
Jun 5, 2017
StartActual
Jun 28, 2017
Primary completionActual
Jul 12, 2021
CompletionActual
Jul 12, 2021
Last update
Sep 16, 2022
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 Sep 16, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03176303
Lead sponsor
Orthofix Inc.
Responsible party
Sponsor
First posted
Jun 5, 2017
Start date
Jun 28, 2017
Primary completion
Jul 12, 2021
Completion
Jul 12, 2021
Last update
Sep 16, 2022

Study contacts

James T Ryaby, Ph.D.
principal investigator · Orthofix Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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