An Evaluation of Interlaminar Lumbar Instrumented (ILIF™)

Completed

• Conditions: Degenerative Disc Disease

• Registration Number: NCT01019057
• Lead Sponsor: NuVasive

Brief Summary

Patients diagnosed with single-level degenerative disc disease (DDD) of the lumbar spine undergo a posterior decompression followed by a fusion complete with a spinous process plate, graft, and a biologic.

Detailed Description

Interlaminar lumbar instrumented fusion (ILIF™) is a compound surgical solution to spinal stenosis, combining direct neural decompression with an allograft interspinous spacer (ExtenSure® H2) to maintain the segmental distraction, and a spinous process fixation plate (Affix™) to maintain stability for eventual segmental fusion. Because this compound solution requires only a midline incision rather than the far lateral exposure necessary in posterolateral fusion with pedicle screws, it is less invasive to the patient, and therefore should result in less postoperative pain and disability, broadening the applicability of the procedure to even those advanced in age or with existing comorbidities. Subjects will be followed for 24 months following surgery to determine the changes in ODI scores from preoperative to baseline assessments. This data will be compared to published data on similar procedures.

Study Timeline

• Study Start: 2009-11
• Study First Submitted: 2009-11-23
• Study First Submitted QC: 2009-11-24
• Study First Posted: 2009-11-25
• Primary Completion: 2014-06
• Study Completion: 2014-06
• Status Verified: 2014-07
• Last Update Submitted: 2014-07-14
• Last Update Posted: 2014-07-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 77

Inclusion Criteria

• Patient is over 40 years of age;
• Patient is diagnosed with single-level lumbar degenerative disc disease between L1-L2 and L4-L5 with evidence of disc collapse and symptomatic claudication with or without back pain and requires surgical intervention;
• Patient is unresponsive to conservative treatment greater than or equal to six month 6 months, or exhibits progressive neurological symptoms in the face of conservative treatment;
• Patient is willing and able to comply with the requirements defined in the protocol for the duration of the study;
• Patient has signed and dated Informed Consent.

Exclusion Criteria

• Patients with lumbar pathologies requiring surgical treatment at more than one level;
• Patients with spondylolisthesis > grade 1;
• Patients with lytic spondylolisthesis or a defect of the pars interarticularis;
• Patients with prior lumbar surgery at or adjacent to the operative level;
• Patients with spinal metastases or active spinal tumor malignancy;
• Progressive neuromuscular disease, e.g., muscular dystrophy, multiple sclerosis;
• Present chronic steroid use;
• Patients with rheumatoid arthritis or other autoimmune disease;
• Patients who are pregnant or interested in becoming pregnant within the follow-up period of the study;
• Patients with a history of substance abuse;
• Patients involved in active spinal litigation;
• Patients receiving workman's compensation for spinal conditions;
• Patients who are mentally incompetent;
• Patients who are incarcerated;
• Patients who are unwilling or unable to comply with the follow-up protocol schedule of visits and assessments.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The change in Oswestry Disability Index scores at 24 months compared to baseline.	preoperative to 24 months follow-up

Secondary Outcome Measures

Name	Time	Method
The rate of surgical and/or postoperative complications attributable to ILIF™ requiring secondary surgical intervention	pre-op to 24 months follow-up
The change in subject self-reported pain ratings (VAS scores) at 24 months compared to baseline	pre-op to 24 months follow-up
The change in Zurich Claudication Questionnaire scores at 24 months compared to baseline	pre-op to 24 months follow-up

Trial Locations

Locations (8)

Lovelace Medical Center; 🇺🇸 Albuquerque, New Mexico, United States

North Florida Regional Medical Center; 🇺🇸 Gainesville, Florida, United States

McLeod Regional Medical Center; 🇺🇸 Florence, South Carolina, United States

Neurosurgical Specialists, DePaul Medical Center; 🇺🇸 Norfolk, Virginia, United States

Desert Institute for Spine Care, Surgical Specialty Hospital of Arizona; 🇺🇸 Phoenix, Arizona, United States

The Spine Institute, St. John's Health Center; 🇺🇸 Santa Monica, California, United States

Coastal Orthopaedic Associates PA; 🇺🇸 Conway, South Carolina, United States

Center for Neurological Disorders, Texas Health Harris Methodist Fort Worth; 🇺🇸 Fort Worth, Texas, United States