Prospective Randomized Clinical Trial Comparing PEEK and Allograft Spacers in Patients Undergoing Spinal Intervertebral Fusion Surgeries
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Degenerative Disc Disease
- Sponsor
- Justin Parker Neurological Institute
- Enrollment
- 240
- Locations
- 1
- Primary Endpoint
- Pain Intensity Scores
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Purpose The primary purpose of this study is to prospectively compare clinical and radiographic clinical outcomes in patients undergoing cervical or lumbar interbody fusions and randomized to receive either polyetheretherketone (PEEK) or cortical allografts.
Detailed Description
Following surgery study subjects will be evaluated at the following intervals: 3 (+/- 2 weeks), 6 (+/- 1 month), 12 (+/- 2 months), 24 (+/- 2 months) months.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Skeletally mature adults between 18 and 70 years old
- •Patients with back and leg pain due to degenerative disc disease, scheduled for TLIF/PLIF approach utilizing an interbody spacer and supplemental posterior fixation at 1, 2 or 3 adjacent levels
- •Unresponsive to conservative care over a period of at least 6 months or has progressive neurological signs and/or symptoms of neurological compromise that mandate urgent surgical intervention
- •Willing and able to comply with the requirements of the protocol including followup requirements
- •Willing and able to sign a study specific informed consent.
Exclusion Criteria
- •More than 3 intervertebral levels to be fused
- •Posterior fixation used at more than 1 level for 1-level intervertebral fusion
- •Posterior fixation used at more than 2 levels for 2-level intervertebral fusion
- •Posterior fixation used at more than 3 levels for 3-level intervertebral fusion
- •Any additional approaches, e.g. anterior, XLIF
- •Active local or systemic infection
- •Prior interbody fusion surgery at the index level
- •Prior fusion at the adjacent levels
- •Previous known allergy to polyetheretherketone (PEEK) or titanium alloy
- •Cervical Fusion Patient Group
Outcomes
Primary Outcomes
Pain Intensity Scores
Time Frame: 24 (+/- 2) months
Improvement in the Neck/Arm or Low Back/Leg Visual Analog pain Scale (VAS) scores. A 30% reduction in pain intensity will be considered to be a successful response to treatment.
Secondary Outcomes
- Clinical and Radiographic Outcomes(3 (+/-2) weeks and 24 (+/- 2) months)