MedPath

Comprehensive Spinal Alignment Planning Study

Completed
Conditions
Spine Surgery
Interventions
Device: NuvaMap O.R.
Device: NuvaMap
Registration Number
NCT02606695
Lead Sponsor
NuVasive
Brief Summary

A comprehensive approach to the evaluation of alignment in spinal surgery patients - through preoperative planning, intraoperative assessment, and postoperative confirmation - has not been well-studied. This study aims to assess the value of such planning through clinical and radiographic outcomes.

Detailed Description

Preoperative planning using tools such as NuvaMapTM (NuVasiveยฎ, Inc., San Diego, CA) enable a surgeon to preoperatively evaluate these alignment parameters and simulate a patient-specific plan using a combination of procedures, techniques, and implants. Once in the operating room, realignment objectives can be verified from a lateral fluoroscopic image in real-time using NuvaMap O.R. (NuVasive, Inc.), a software application integrated with the NVM5ยฎ neuromonitoring platform (NuVasive, Inc.). This real-time verification allows for confirmation and subsequent changing of the plan as necessary. The objective of this study is to validate the utility and effectiveness of comprehensive surgical planning in restoring and preserving sagittal alignment through the collection of clinical and radiographic outcomes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
306
Inclusion Criteria
  1. Male and female patients who are at least 18 years of age;
  2. Patients with planned thoracolumbar (any number of levels between T1 and the pelvis) spine fusion surgery and available preoperative standing lateral radiographs, inclusive of the femoral head axis;
  3. Able to undergo surgery based on physical exam, medical history and surgeon judgment;
  4. Patients who understand the conditions of enrollment and are willing to sign an informed consent to participate in the evaluation.
Exclusion Criteria
  1. Patient has a mental or physical condition that would limit the ability to comply with study requirements;
  2. Patient is a prisoner;
  3. Patient is participating in another clinical study that would confound study data.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
NuvaMap and NuvaMap OR in Thoracolumbar Spinal FusionNuvaMap O.R.-
NuvaMap and NuvaMap OR in Thoracolumbar Spinal FusionNuvaMap-
Primary Outcome Measures
NameTimeMethod
Evaluate the utility of alignment planning using surgical planning softwarePostoperative (3 months)

The incidence of a change in plan (pre- or intraoperative) based on alignment measurement feedback, and the consequential achievement of postoperative (at 3 months) alignment relative to planned goals.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (15)

Augusta Orthopedic & Sports Medicine Specialists

๐Ÿ‡บ๐Ÿ‡ธ

Augusta, Georgia, United States

Neurosurgical Medical Clinic, Inc.

๐Ÿ‡บ๐Ÿ‡ธ

San Diego, California, United States

University of Minnesota

๐Ÿ‡บ๐Ÿ‡ธ

Minneapolis, Minnesota, United States

Rezin Orthopedics and Sports Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Morris, Illinois, United States

University Spine Center

๐Ÿ‡บ๐Ÿ‡ธ

Wayne, New Jersey, United States

Orthopaedic Specialty Institute (OSI)

๐Ÿ‡บ๐Ÿ‡ธ

Orange, California, United States

Spine Colorado

๐Ÿ‡บ๐Ÿ‡ธ

Durango, Colorado, United States

Carolina Neurosurgery & Spine Associates (CNSA)

๐Ÿ‡บ๐Ÿ‡ธ

Charlotte, North Carolina, United States

Carilion Clinic (Roanoke)

๐Ÿ‡บ๐Ÿ‡ธ

Roanoke, Virginia, United States

Jacobs Institute/UB Neurosurgery, Inc.,

๐Ÿ‡บ๐Ÿ‡ธ

Amherst, New York, United States

Spine Center at Great Neck

๐Ÿ‡บ๐Ÿ‡ธ

Great Neck, New York, United States

Duke University

๐Ÿ‡บ๐Ÿ‡ธ

Durham, North Carolina, United States

Dupage Medical Group Spine Institute

๐Ÿ‡บ๐Ÿ‡ธ

Naperville, Illinois, United States

Scripps Clinic Medical Group

๐Ÿ‡บ๐Ÿ‡ธ

La Jolla, California, United States

Foundation for Orthopaedic Research and Education

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

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